Active NPI
Jose Ignacio Ortiz de Elguea Lizarraga, MD
- Surgery Physician
- Galveston, TX
National Provider Identifier
1376272286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 745788
- Practice address
- 301 University Blvd
Galveston, TX 77555-8052 - Phone
- (409) 772-1369
- NPI assigned
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 745788 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-8052
Mailing address
301 University Blvd
Galveston, TX 77555-8052
Phone (346) 971-1342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745788 | Other | TX | TEXAS MEDICAL BOARD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745788 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1376272286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775558052",
"telephone_number": "346-971-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775558052",
"telephone_number": "409-772-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ DE ELGUEA LIZARRAGA",
"first_name": "JOSE",
"middle_name": "IGNACIO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "745788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "745788",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.