NPIMap

Individual provider Active NPI

Emmeken Godelieve Otte, M.D.

  • Internal Medicine Physician
  • Olney, TX
National Provider Identifier
1457548240
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N7733 Issued in TX
Practice address
901 W Hamilton St
Olney, TX 76374-1725
Phone
(940) 564-5521
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N7733 TX
Internal Medicine Physician 207R00000X N7733 TX Primary

Addresses

Primary practice location

901 W Hamilton St
Olney, TX 76374-1725

Mailing address

100 S Avenue M
Olney, TX 76374-1642
Phone (940) 564-3546

Other practice location 1

100 S Avenue M
Olney, TX 76374-1642
Phone (409) 564-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000361 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9537338603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Olney-Hamilton Hospital DistrictGroup PAC ID 9133029077, 15 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

901 W Hamilton St
Olney, TX 76374-1725

PO Box
Suite 158
Olney, TX 76374-0158

Hospital & facility affiliations

  • Hamilton Hospital Hospital, Olney, TX, CCN 451354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N7733TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olney-Hamilton Hospital District Current Accepting new patients
Olney-Hamilton Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 20, 2017 Accepting new patients
Olney Hamilton Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 20, 2017 Accepting new patients
East Texas Community Health Services, Inc PastSince Dec 21, 2025 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

901 W Hamilton St
Olney, TX 76374
Phone (940) 564-3546

100 S Avenue M
Olney, TX 76374
Phone (940) 564-3546

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1457548240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S AVENUE M",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763741642",
            "telephone_number": "940-564-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W HAMILTON ST",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763741725",
            "telephone_number": "940-564-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Avenue M",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "TX",
            "postal_code": "763741642",
            "country_code": "US",
            "telephone_number": "409-564-3546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTE",
        "first_name": "EMMEKEN GODELIEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N7733",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, TX

Sources for this page

Verify at the official NPI Registry.