Lourdes Margarita Orellana, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05608 Issued in TX

Practice address

1020 Riverwood CT Ste 100
Conroe, TX 77304-2973

Phone

(936) 441-2012

Fax

(936) 494-4012

NPI assigned

Nov 19, 2009

Last updated

Nov 4, 2020By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJEIBA

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

• Conroe Family Doctor PLLC

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1487912929
  Medicare reassignment

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1679801203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042973",
            "telephone_number": "936-441-2012",
            "fax_number": "936-494-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042973",
            "telephone_number": "936-441-2012",
            "fax_number": "936-494-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "LOURDES",
        "middle_name": "MARGARITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Oosthuizen
• Opa 1, LTD (Orthotic & Prosthetic Associates)
• Angela Opry, LMT
• Josselyne Susan Orbegoso
• Gloria Yaneth Orellana, LVN
• Oriental Natural Therapy, PC (Acupuncture & Massage Clinic)
• Carolina Ornelas, RN
• Lindsey Anne Orr, APRN
• Monica Ortega
• Orthospine MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.