Active NPI
Nancy Ruth Otto, M.D.
- Orthopaedic Hand Surgery Physician
- San Antonio, TX
National Provider Identifier
1720133937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- H3721
- Practice address
- 8715 Village Dr
Suite 120
San Antonio, TX 78217-5405 - Phone
- (210) 477-5151
- Fax
- (210) 477-5152
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | H3721 | TX | Primary |
Addresses
Primary practice location
8715 Village Dr
Suite 120
San Antonio, TX 78217-5405
Mailing address
6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01396263 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Specialty Network Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1720133937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6704 RANDOLPH BLVD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782334222",
"telephone_number": "210-477-5151",
"fax_number": "210-477-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8715 VILLAGE DR",
"address_2": "SUITE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175405",
"telephone_number": "210-477-5151",
"fax_number": "210-477-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "NANCY",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "H3721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01396263",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.