DR. NORMAN Y OTSUKA


Address: 400 N 9th St, Springfield, IL 62702-5310
Phone: 2175458000

DR. NORMAN Y OTSUKA (NPI# 1063484814) 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) 1063484814
Entity Type Individual
Full Name DR. NORMAN Y OTSUKA
Credential M.D.
Practice Address 400 N 9th St
Springfield
IL 62702-5310
Mailing Address Po Box 19638
Springfield
IL 62794-9638
Practice Telephone 2175458000
Mailing Telephone 2175458000
Enumeration Date 2006-02-06
Last Update Date 2020-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 036-148203 IL Allopathic & Osteopathic Physicians
Y 207XP3100X Orthopaedic Surgery
Specialization: Pediatric Orthopaedic Surgery
036-148203 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 400 N 9TH ST
City SPRINGFIELD
State IL
Zip Code 62702-5310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215551320 Jennifer Inness Social Worker 400 N 9th St, Springfield, IL 62702-5310 2020-06-04
1588287841 Laila Mahmoud Hashim Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2020-05-21
1710527908 Sydney J Sullivan Nurse Practitioner 400 N 9th St, Springfield, IL 62702-5310 2020-01-15
1669997383 Trisha Schulte Occupational Therapist 400 N 9th St, Springfield, IL 62702-5310 2017-08-03
1376920645 Jennifer Davis Dietitian, Registered 400 N 9th St, Springfield, IL 62769-1000 2015-05-06
1164831186 Eshan Michael Samuel Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2014-08-04
1447686415 Lamya Mubayed Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2013-09-22
1336395904 Carlos F Sanchez -glanville Surgery 400 N 9th St, Springfield, IL 62702-5310 2008-08-14
1871766493 Troy L. Spilde Surgery 400 N 9th St, Springfield, IL 62702-5310 2008-04-03
1114034352 Ahmed G. Mami Surgery 400 N 9th St, Springfield, IL 62702-5310 2006-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 207XP3100X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Pediatric Orthopaedic Surgery

Taxonomy Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154720027 Rubini Pathy Orthopaedic Surgery 516 Carew St, Springfield, MA 01104-2330 2014-08-17
1285078444 The Shriners' Hospital for Children Orthopaedic Surgery 516 Carew St, Springfield, MA 01104-2330 2013-04-18
1942575147 Ahmad Fouad Bayomy Orthopaedic Surgery 516 Carew St, Springfield, MA 01104 2012-03-20
1649319682 John Day Deweese Orthopaedic Surgery 516 Carew St, Springfield, MA 01104-2330 2007-02-06
1215075403 William W. Goodman IIi Orthopaedic Surgery 1229 E Seminole St, Springfield, MO 65804-2227 2007-02-01
1841230471 Krishna Anjali Singh Orthopaedic Surgery 301 N 8th St, Pav4b, Springfield, IL 62701-1041 2006-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871138933 Brigid Smigiel Orthopaedic Surgery 225 E Chicago Ave, Chicago, IL 60611-2991 2019-11-13
1871930693 Shriners Hospitals for Children Orthopaedic Surgery 2211 N Oak Park Ave, Chicago, IL 60707-3351 2013-06-03
1831402007 Verena Michaela Schreiber Orthopaedic Surgery 920 Milwaukee Ave, Lincolnshire, IL 60069 2010-07-16
1477726610 J.e.bertolini,m.d. Sc. Orthopaedic Surgery 202 N Hammes Ave, Suite D, Joliet, IL 60435-8129 2008-04-09
1679781355 Orthopaedic and Rehabilitation Centers Sc Orthopaedic Surgery 5616 N Western Ave, Chicago, IL 60659-5113 2007-05-18
1427260959 Joseph Aloysius Janicki Orthopaedic Surgery 225 E Chicago Ave, Box #69, Chicago, IL 60611-2991 2007-05-04
1487879961 Illinois Valley Community Hospital Orthopaedic Surgery 920 West St, Suite 211, Peru, IL 61354-2763 2007-04-17
1487704052 Michelle Lee Sagan Orthopaedic Surgery 225 E Chicago Ave, Box 69, Chicago, IL 60611-2991 2007-01-12
1306825435 Monica Kogan Orthopaedic Surgery 1611 W Harrison St, #400, Chicago, IL 60612-4861 2006-01-17

Competitor

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City SPRINGFIELD
Zip Code 62702

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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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