Active NPI
Scotty R Ortega MD
- Family Health Clinical Nurse Specialist
- Odessa, TX
National Provider Identifier
1205378239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- AP132514
- Legal business name
- SCOTTY R ORTEGA MD
- Practice address
- 2487 E 11TH Street
Odessa, TX 79761 - Phone
- (432) 332-1386
- Fax
- (432) 614-6272
- NPI assigned
- Nov 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scotty R Ortega, MD
- Title
- MD/Owner
- Phone
- (432) 332-1386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | AP132514 | TX | Primary |
Addresses
Primary practice location
2487 E 11TH Street
Odessa, TX 79761
Mailing address
2487 E 11TH Street
Odessa, TX 79761
Phone (432) 332-1386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB137020 | Other | TX | PTAN |
National Provider Directory
National Provider DirectoryLocations
2487 E 11th St
Odessa, TX 79761
Phone (432) 332-1386
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEFJBD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478563200000",
"number": "1205378239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2487 E 11TH STREET",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-332-1386",
"fax_number": "432-614-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2487 E 11TH STREET",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-332-1386",
"fax_number": "432-614-6272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTY R ORTEGA MD",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "SCOTTY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "432-332-1386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "TX",
"license": "AP132514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "TXB137020",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.