Family Medical Center of Georgetown, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CENTER OF GEORGETOWN, PA

Practice address

908 Rockmoor Dr
Georgetown, TX 78628-8966

Phone

(512) 868-0901

Fax

(512) 868-1527

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Richard E Otto, MDNPI 1730266420

Title

Co-Owner

Phone

(512) 868-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27647/brand/1/csg/1/fhir/r4

Practitioners 8

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

• Richard Elmer Otto, MD

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1730266420
  Medicare reassignment Care Compare group NPD Authorized official
• Murray Alan Snook, MD

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1326125097
  Medicare reassignment Care Compare group
• Cody Hampton Haines, APRN-NP-C

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1679233944
  Medicare reassignment NPD
• Candice Weiner-Johnson, MD

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1831519826
  Medicare reassignment NPD
• Taylor Suhr Dornseifer

  • Physician Assistant
  • Georgetown, TX
  • NPI 1053266551
  Medicare reassignment
• Emily Socorro Gonzalez, PA-C

  • Physician Assistant
  • Georgetown, TX
  • NPI 1073198438
  Medicare reassignment
• Nihal Ozbasaran, NP

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1275479131
  Medicare reassignment
• Marcus John Wauson, PA-C

  • Medical Physician Assistant
  • Hewitt, TX
  • NPI 1346418076
  Medicare reassignment

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1700946118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2509",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272509",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF GEORGETOWN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "512-868-0901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Anna Fairchild, LPC
• Fairfield Pumps LLC
• Faithworks Counseling Services PLLC
• Family Care Network LLC
• Family ENT of Georgetown PLLC
• Family Patient Transportation LLC
• Family Total Dental PA
• Larry Ralph Fane, M. D.
• Farlife LLC
• Carol Farn, DDS

• Family Medicine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.