OTIS EDD PAYNE (NPI# 1114065612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114065612 |
| Entity Type | Individual |
| Full Name | OTIS EDD PAYNE |
| Credential | MD |
| Practice Address |
21810 76th Ave West Ste 202 Edmonds WA 98026 |
| Mailing Address |
18015 53rd Ave Ne Lake Forest Park WA 98155 |
| Practice Telephone | 2064272171 |
| Practice Fax Number | 4256708293 |
| Mailing Telephone | 2064272171 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01034937A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD009959 | LA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00010587 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1199009 | 05 |
| Street Address |
21810 76TH AVE WEST STE 202 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891821179 | James Alan Salmon | Psychiatry & Neurology | 21810 76th Ave West, #202, Edmonds, WA 98026-7917 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1912095597 | Anne Marie Elizabeth Arvidson | Psychiatry & Neurology | 307 Bell St, #206, Edmonds, WA 98020-3215 | 2006-10-10 |
| 1164539201 | Katia Susanna Ronay | Psychiatry & Neurology | 7315 212th Street Sw #101, Edmonds, WA 98020-3464 | 2006-08-24 |
| 1477561538 | James Bryan Hughes | Psychiatry & Neurology | 110 James St, Suite 104, Edmonds, WA 98020-8429 | 2006-08-04 |
| 1013961960 | Brian F Smart | Psychiatry & Neurology | 7416 212th St Sw, Edmonds, WA 98026-7609 | 2006-05-22 |
| 1043720535 | George Paris Pllc | Psychiatry & Neurology | 7500 212th St Sw Ste 118, Edmonds, WA 98026-7616 | 2017-10-10 |
| 1356795363 | Kisha M Clune | Psychiatry & Neurology | 21911 76th Ave W Ste 110, Edmonds, WA 98026-7918 | 2016-04-15 |
| 1164884136 | Stephanie Lynne Harper | Psychiatry & Neurology | 7315 212th St Sw Ste 101, Edmonds, WA 98026-7610 | 2016-03-28 |
| 1386998193 | Robert Jay Reichler, Md, Ps | Psychiatry & Neurology | 21827 76th Ave W, Suite 201, Edmonds, WA 98026-7981 | 2012-10-31 |
| 1326273632 | Peter Michael Meis | Psychiatry & Neurology | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2009-05-17 |
| Find all providers in EDMONDS | ||||
Please comment or provide details below to improve the information on OTIS EDD PAYNE.
| 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.