Active NPI
West Texas Nephrology Associates
- Nephrology Physician
- San Angelo, TX
National Provider Identifier
1376548008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 00KL07
- Legal business name
- WEST TEXAS NEPHROLOGY ASSOCIATES
- Practice address
- 136 E Concho Ave
San Angelo, TX 76903-5947 - Phone
- (325) 653-6773
- Fax
- (325) 653-3849
- NPI assigned
- Jun 17, 2005
- 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
- Dr. Steve F Montoya Jr., M.D.
- Title
- Ceo
- Phone
- (325) 653-6773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 00KL07 | TX | Primary |
Addresses
Primary practice location
136 E Concho Ave
San Angelo, TX 76903-5947
Mailing address
PO Box 5780
San Angelo, TX 76902-5780
Phone (325) 653-6773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112858904 | Medicaid | TX | |
| CP4155 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
3501 Executive Dr
San Angelo, TX 76904
Phone (325) 747-8025
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nephrology Physician
- San Angelo, TX
- NPI 1922280882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403654400000",
"number": "1376548008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5780",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769025780",
"telephone_number": "325-653-6773",
"fax_number": "325-653-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 E CONCHO AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035947",
"telephone_number": "325-653-6773",
"fax_number": "325-653-3849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS NEPHROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-17",
"last_updated": "2014-06-25",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "325-653-6773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "00KL07",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112858904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP4155",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
- West Texas LTC Partners, Inc.
- West Texas Medical Associates
- West Texas Medical Associates
- West Texas Medical Associates
- West Texas Medical Associates
- West Texas Nephrology Associates
- West Texas Renal Care Center Inc
- Casey Westmoreland, PA-C
- D'Laine Dunn Westmoreland, DO
- Paige Kelsey Westmoreland, MBA, PA-C, CAQ-PSYCH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.