GERALD VINCENT OTTENI


Address: 212 Lephillip Ct., Ne, Suite 201, Concord, NC 28025-2977
Phone: 7047860214

GERALD VINCENT OTTENI (NPI# 1023077807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023077807
Entity Type Individual
Full Name GERALD VINCENT OTTENI
Credential M.D.
Practice Address 212 Lephillip Ct., Ne
Suite 201
Concord
NC 28025-2977
Practice Telephone 7047860214
Practice Fax Number 7047882379
Mailing Telephone 7047860214
Mailing Fax Number 7047882379
Enumeration Date 2006-03-21
Last Update Date 2007-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
19813 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8964371 05

Office Location

Street Address 212 LEPHILLIP CT., NE
SUITE 201
City CONCORD
State NC
Zip Code 28025-2977

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1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437392131 Elizabeth Fleming Clemente Radiology 2 1/2 Beacon St Ste 199, Concord, NH 03301-4447 2009-04-09
1760536015 All Diagnostics Radiology 1000 Copperfield Blvd, Ste 124, Concord, NC 28025 2007-01-23
1003965997 Norcal Imaging Radiology 2600 Park Ave., Suites # 101 & 203, Concord, CA 94520-1929 2007-01-09
1790875631 Corinne E Sadoski Radiology 133 Old Road Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 2006-10-13
1427095462 Margo Magdelana Moskos Radiology Emerson Hospital, 133 Ornac-radiology, Concord, MA 01742 2006-05-31
1376591545 Cabarrus Diagnostic Imaging LLC Radiology 925 Bradley St, Concord, NC 28025-0911 2006-05-04
1811964562 David Franklin Walther Radiology 147 Ornac, Concord, MA 01742-4159 2006-03-01
1114990991 Gerard V Smith Radiology 2 1/2 Beacon St, Concord, NH 03301-4447 2006-02-10
1043659790 Alexander Stetsyuk Radiology 248 Pleasant St, Concord, NH 03301-2588 2013-06-17
1821352899 William Collins Wrobel Radiology 248 Pleasant St, Concord, NH 03301-2588 2012-06-25
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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