ALEXANDRA LYNN OTTO (NPI# 1134775851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134775851 |
| Entity Type | Individual |
| Full Name | ALEXANDRA LYNN OTTO |
| Credential | PA-C |
| Practice Address |
1825 Highway 34 E Ste 1200 Newnan GA 30265-6416 |
| Mailing Address |
660 Ralph Mcgill Blvd Ne Apt 1411 Atlanta GA 30312-1151 |
| Practice Telephone | 7705022121 |
| Mailing Telephone | 9013026270 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 9289 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043552029 | Alexandra Barton Otto | Dentist | 1245 Main Street, Bldg B-2, Suite 300, Buda, TX 78610 | 2013-03-18 |
| Street Address |
1825 HIGHWAY 34 E STE 1200 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508239997 | Wellstreet of Georgia PC | Clinic/Center | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2015-11-06 |
| 1952934465 | Ngozi Ikeme | Registered Nurse | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2020-02-13 |
| 1124503933 | Alexis Noelle Rook | Physician Assistant | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2018-09-27 |
| 1013415066 | Gabrielle Galon | Physician Assistant | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659588762 | Richard Glenn Spurlock Jr. | Emergency Medicine | 931 Lower Fayetteville Rd, Newnan, GA 30263-5790 | 2007-05-17 |
| 1740443902 | Chinedum Ikpe Clark | Emergency Medicine | 745 Poplar Rd, Newnan, GA 30265-1618 | 2008-07-08 |
| 1972779262 | Christopher Morgan | Emergency Medicine | 1825 Highway 34 E, Suite 1200, Newnan, GA 30265-6423 | 2008-05-06 |
| 1477736437 | Ann P D'adamo | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2007-12-13 |
| 1942343405 | Wellstreet of Georgia PC | Emergency Medicine | 1755 Highway 34 E, Suite 2150, Newnan, GA 30265-5631 | 2007-02-15 |
| 1962553180 | Coweta Emergency Physicians, LLC | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2007-01-15 |
| 1194804427 | Barry Morgan | Emergency Medicine | 1755 Highway 34 E, Suite 2400, Newnan, GA 30265-5631 | 2006-11-06 |
| 1568470961 | Matthew J Gimpert | Emergency Medicine | 745 Poplar Road, Newnan, GA 32605-1618 | 2006-08-03 |
| 1548290232 | Gerald Luther Filmore | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2006-07-05 |
| 1225014038 | Kimberly A. Hall-moore | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2005-12-22 |
| Find all providers in NEWNAN | ||||
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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.