Provider Demographics
NPI:1144578485
Name:ORTMAN, CHELSEY BAYER (MD)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:BAYER
Last Name:ORTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:ELIZABETH
Other - Last Name:BAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4910 MUELLER BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3079
Mailing Address - Country:US
Mailing Address - Phone:512-628-1855
Mailing Address - Fax:
Practice Address - Street 1:4910 MUELLER BLVD STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3079
Practice Address - Country:US
Practice Address - Phone:512-628-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT01212084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology