CH Oltorf LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CH OLTORF LLC

Practice address

2121 E Oltorf St Ste 17a
Austin, TX 78741-4533

Phone

(512) 277-3751

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Joshua Allen, MDNPI 1699760264

Title

Provider

Phone

(254) 236-5575

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua A Allen, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Beaumont, TX
  • NPI 1699760264
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1417539453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 KATY FWY STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241391",
            "telephone_number": "713-464-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E OLTORF ST STE 17A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787414533",
            "telephone_number": "512-277-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH OLTORF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "254-236-5575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cervantes
• Honour L Cessac, OD
• Hayley Cestafe, PA-C
• CG Wellness Group, PLLC
• CH MH Services (TX), LLC (Charlie Health)
• CH Specialty Services TX PLLC
• Minji Cha
• Pamela Jean Chabak-Clagett, L.C.S.W.
• Liza Chabokrow, DPM
• Ronia A Chackanad, M.D.

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.