BENJAMIN THOMAS OTT (NPI# 1093716797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093716797 |
| Entity Type | Individual |
| Full Name | BENJAMIN THOMAS OTT |
| Credential | MD |
| Practice Address |
650 Julian Rd Salisbury NC 28147-9078 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7046373373 |
| Practice Fax Number | 7056370069 |
| Mailing Telephone | 7046373373 |
| Mailing Fax Number | 7056370069 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 200400726 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD NC | 1370Y | 01 |
| NC | 891370Y | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861055055 | Benjamin Alexander Ott | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2019-04-15 |
| Street Address |
650 JULIAN RD |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-9078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504736 | Ronnie Jay Barrier | Family Medicine | 650 Julian Rd, Salisbury, NC 28147-9078 | 2005-08-02 |
| 1043850456 | Lindsey Maners Gordon | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2020-01-14 |
| 1619532868 | Breanna Blakley Walker | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2019-05-03 |
| 1457915001 | Hannah Rebekah Dawson | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2019-04-30 |
| 1346760246 | Ashten Crosby | Family Medicine | 650 Julian Rd, Salisbury, NC 28147-9078 | 2017-06-21 |
| 1457600033 | Tiffanie Lauren Adams | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2012-08-29 |
| 1508123860 | Sharon Michelle Brown | Family Medicine | 650 Julian Rd, Salisbury, NC 28147-9078 | 2012-04-11 |
| 1154603629 | Tiffany Marie Ingold | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2011-09-12 |
| 1750534038 | Novant Medical Group Inc | Family Medicine | 650 Julian Rd, Salisbury, NC 28147-9078 | 2008-10-30 |
| 1225182686 | Jennifer H Alderman | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1841839453 | Cabarrus Rowan Community Health Center, Inc | Family Medicine | 226 N Long St, Salisbury, NC 28144-5049 | 2019-12-30 |
| 1952812794 | Atlantic Recovery, LLC | Family Medicine | 547 Riverside Dr Unit S, Salisbury, MD 21801-5369 | 2017-10-19 |
| 1477063386 | Corelife of Delmarva LLC | Family Medicine | 200 E Vine St Ste B, Salisbury, MD 21804-5531 | 2017-10-05 |
| 1336481951 | Charlotte A. Watts | Family Medicine | 231 Middle Blvd, Salisbury, MD 21801-6213 | 2013-03-21 |
| 1538448808 | Shu-chai Willy Lin | Family Medicine | 1402 Home Pl, Salisbury, MD 21804-9302 | 2011-08-04 |
| 1932498227 | Medical Alliance Group, Inc | Family Medicine | 206 Churchill Dr, Salisbury, NC 28144-8307 | 2011-04-07 |
| 1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
| 1659514271 | Hilda Imelio Houlihan | Family Medicine | 1318 Toadvine Rd, Salisbury, MD 21804-9245 | 2009-04-13 |
| Find all providers in SALISBURY | ||||
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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.