DR. RAYMOND J OTTO


Address: 600 Robbins Rd, Boise, ID 83702
Phone: 2084895800

DR. RAYMOND J OTTO (NPI# 1063455301) 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) 1063455301
Entity Type Individual
Full Name DR. RAYMOND J OTTO
Credential M.D.
Practice Address 600 Robbins Rd
Boise
ID 83702
Mailing Address Po Box 165
Boise
ID 83701-0165
Practice Telephone 2084895800
Mailing Telephone 2084895800
Enumeration Date 2006-06-14
Last Update Date 2018-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine M-9590 ID Allopathic & Osteopathic Physicians
Y 207PE0005X Emergency Medicine
Specialization: Undersea and Hyperbaric Medicine
M-9590 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 807447900 05

Office Location

Street Address 600 ROBBINS RD
City BOISE
State ID
Zip Code 83702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316943343 Marshall Gardner Physician Assistant 600 Robbins Rd, Ste 300, Boise, ID 83702-4565 2005-06-23
1750527701 Crystal N Arave Speech-Language Pathologist 600 Robbins Rd, Ste 101, Boise, ID 83702-4539 2008-12-22
1336399021 Frances Marie Lovely Licensed Practical Nurse 600 Robbins Rd, Boise, ID 83702-4539 2008-09-30
1053598458 Virginia Gibson Specialist/Technologist, Other 600 Robbins Rd, Suite 400, Boise, ID 83702-4539 2008-01-28
1073797395 Victoria Ann Merrell Physician Assistant 600 Robbins Rd, Suite 100, Boise, ID 83702-4539 2007-12-21
1487850798 Janis Rae Harrold Occupational Therapist 600 Robbins Rd, Boise, ID 83702-4539 2007-06-23
1457552358 Kathryn Mcfarland Harding Speech-Language Pathologist 600 Robbins Rd, Boise, ID 83702-4539 2007-05-29
1922218502 Wendy Lee Rudy Speech-Language Pathologist 600 Robbins Rd, Boise, ID 83702-4539 2007-05-23
1871702944 Melissa J Honsinger Speech-Language Pathologist 600 Robbins Rd, Boise, ID 83702-4539 2007-05-22
1801006820 Maren Elizabeth Hollister Speech-Language Pathologist 600 Robbins Rd, Boise, ID 83702-4539 2007-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 207PE0005X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639190291 Margaret Mary Doucette Emergency Medicine 500 W Fort St, Boise, ID 83702-4501 2006-07-21
1215957733 Marlene K Olson Emergency Medicine 600 N Robbins Rd, Suite 100, Boise, ID 83702-4565 2006-07-20
1205875275 Emergency Medicine of Idaho Emergency Medicine 13960 W Wainwright Dr, Boise, ID 83713-1969 2006-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851866545 Hyperbaric Centers of Idaho Emergency Medicine 721 Hailey Dr, Hailey, ID 83333-8778 2018-10-09
1356349492 Martha I Buitrago Emergency Medicine 2900 Cortez Ave, Idaho Falls, ID 83404-7554 2005-07-12
1386642494 Idaho Hyperbarics Inc Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-12
1285633065 Christopher C Shields Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14
1659370443 Michael J Gregson Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14
1366441156 Charles O Garrison Emergency Medicine 1125 W Alameda Rd, Pocatello, ID 83201-6143 2005-07-14

Competitor

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City BOISE
Zip Code 83702

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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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