Active NPI
Ottis L Layne Jr., MD
- Family Medicine Physician
- Fredericksburg, TX
National Provider Identifier
1902967128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D7144
- Practice address
- 1308 South Highway 16
Fredericksburg, TX 78624-5058 - Phone
- (830) 997-2181
- Fax
- (830) 997-9598
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D7144 | TX | |
| Family Medicine Physician | 207Q00000X | D7144 | TX | Primary |
Addresses
Primary practice location
1308 South Highway 16
Fredericksburg, TX 78624-5058
Mailing address
1308 South Highway 16
Fredericksburg, TX 78624-5058
Phone (830) 997-2181
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 |
|---|---|---|---|
| Kerrville Medical Services, PA | Past | Accepting new patients | |
| San Antonio Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Third Coast Emergency Physicians Sid Peterson PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Hunt, TX
- NPI 1366626517
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1538371448
-
- Emergency Medicine Physician
- Kerrville, TX
- NPI 1972541423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1902967128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245058",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "OTTIS",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "D7144",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D7144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.