Organization Active NPI

Garner Field Family Medicine PA

  • Family Medicine Physician
  • Uvalde, TX
National Provider Identifier
1982886792
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARNER FIELD FAMILY MEDICINE PA
Practice address
2100 Garner Field Rd
Uvalde, TX 78801-6216
Phone
(830) 278-4588
Fax
(830) 278-4895
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Carl D Utterback, M.D.
Title
Physician
Phone
(830) 278-4588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2100 Garner Field Rd
Uvalde, TX 78801-6216

Mailing address

2100 Garner Field Rd
Uvalde, TX 78801-6216
Phone (830) 278-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2100 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-3833

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David C White Individual 5% Or Greater Direct Ownership Interest Oct 1, 2012
Corporate Director Oct 1, 2012
Adriana Ortega Individual W-2 Managing Employee Apr 6, 2015
Kevin L Uptergrove Individual 5% Or Greater Direct Ownership Interest Mar 1, 2008
Corporate Director Mar 1, 2008
Nellie Villanueva Individual W-2 Managing Employee Apr 6, 2015

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1982886792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GARNER FIELD RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016216",
            "telephone_number": "830-278-4588",
            "fax_number": "830-278-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GARNER FIELD RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016216",
            "telephone_number": "830-278-4588",
            "fax_number": "830-278-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER FIELD FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "830-278-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.