Bethsaida Nephrology and Internal Medicine

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P1765 Issued in TX

Legal business name

BETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE

Practice address

1405 Jacaman Rd Ste 102
Laredo, TX 78041-6225

Phone

(956) 568-9657

Fax

(956) 568-9659

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Olayinka Omowunmi Holt, MDNPI 1871876011

Title

Director

Phone

(347) 350-3187

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olayinka Omowunmi Holt, MD

  • Nephrology Physician
  • Laredo, TX
  • NPI 1871876011

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Javier G Montes, MD

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1215114236
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1619314366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD STE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416225",
            "telephone_number": "956-568-9657",
            "fax_number": "956-568-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD STE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416225",
            "telephone_number": "956-568-9657",
            "fax_number": "956-568-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "OLAYINKA",
        "authorized_official_middle_name": "OMOWUNMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-350-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1765",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333074801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Berrones
• Ginna Marie Bertheau, FNP
• John Berumen Jr., LMFT
• Best Choice Medical Supplies DME LLC
• Best Healthcare, LLC
• Betty Elizabeth Ortiz
• Beyond Borders CBT, LLC
• Beyond Care Home Health LLC
• Beyond Care Home Health,LLC
• Beyond Healing Home Health Inc.

• Nephrology Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.