Odemaris Santiago-Young, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

H9477 Issued in TX

Practice address

176 Fairway Dr
Kerrville, TX 78028-6437

Phone

(830) 896-6100

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4

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.

• Colorectal Associates of Texas PA

  • Colon & Rectal Surgery Physician
  • Plano, TX
  • NPI 1821045675
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1487762845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FAIRWAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286437",
            "telephone_number": "830-896-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FAIRWAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286437",
            "telephone_number": "830-896-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-YOUNG",
        "first_name": "ODEMARIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "H9477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8G8640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Sanchez
• Valerie Marie Sanchez, MSN, APRN, FNP-C
• J Nathaniel Sanderson, M.D.
• Laura Yvette Sandoval, LPC, LCDC
• Scott Sanford, M.D.
• Randi Sargent
• Kiersti M Satterwhite, RN
• Ann H Saur, LCSW
• Jeri Savant, RN,CRRN,RAC-CT
• Beth Ann Schaefer, SLP

• Rheumatology Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.