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).
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 |
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 |
Street Address |
400 N 9TH ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-5310 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 62702 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
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] |
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 |
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 |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.