Active NPI
Carlos B. Ortiz III, M.D.
- Anesthesiology Physician
- Beaumont, TX
National Provider Identifier
1235273533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E8780
- Practice address
- 755 N 11TH St
Suite P3600
Beaumont, TX 77702-1501 - Phone
- (409) 838-5214
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E8780 | TX | Primary |
Addresses
Primary practice location
755 N 11TH St
Suite P3600
Beaumont, TX 77702-1501
Mailing address
PO Box 5587
Beaumont, TX 77726-5587
Phone (409) 838-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8780 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1235273533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5587",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777265587",
"telephone_number": "409-838-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N 11TH ST",
"address_2": "SUITE P3600",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021501",
"telephone_number": "409-838-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CARLOS",
"middle_name": "B.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E8780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.