Laura Jane Otillar, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02926 Issued in TX

Practice address

1200 Enclave Pkwy
Ste 200
Houston, TX 77077-1764

Phone

(281) 870-1000

Fax

(866) 513-0183

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Branch Community Health CenterGroup PAC ID 3072501154, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.otillar@sbchc.eclinicaldirectplus.com

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.

• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1235141409
  Medicare reassignment Care Compare group NPD (past)
• Spring Branch Community Health Center

  dba West Houston Pharmacy

  • Community/Retail Pharmacy
  • Katy, TX
  • NPI 1003628140
  NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Katy, TX
  • NPI 1548670128
  NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1558688135
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1538337498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ENCLAVE PKWY",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771764",
            "telephone_number": "281-870-1000",
            "fax_number": "866-513-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ENCLAVE PKWY",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771764",
            "telephone_number": "281-870-1000",
            "fax_number": "866-513-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTILLAR",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa P Otey, MD
• Otf Wellness Center, LLC (otf wellness center)
• Gurdeep S Othee, M.D.
• Mohamed O Othman, MD
• Erica Otieno, RD LD
• Babatunde Adebola Otinwa, D.O.
• Oluebube Otiocha
• Erica Otobo
• Ashley Amanda Ott, BCBA, LBA
• David A. Ott, M.D.

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.