DR. JEFFREY EDWARD OTTE (NPI# 1174967368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174967368 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY EDWARD OTTE |
| Credential | M.D. |
| Practice Address |
801 Medical Dr Ste A Lima OH 45804-4030 |
| Practice Telephone | 4192226622 |
| Practice Fax Number | 4192240015 |
| Mailing Telephone | 4192226622 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35.126395 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
57105 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609143098 | Jeffrey William Otte | Specialist/Technologist | 5353 Gamble Drive Suite 202, Team Spine, St. Louis Park, MN 55416 | 2011-11-29 |
| Street Address |
801 MEDICAL DR STE A |
| City | LIMA |
| State | OH |
| Zip Code | 45804-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899594 | Andrew E Layne | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2005-08-30 |
| 1447858972 | Melissa M Kloeppel | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-10-16 |
| 1003446170 | Logan Michael Rieman | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-01-17 |
| 1689216939 | James Westley Carlier | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-10-08 |
| 1578029641 | Breanna L Hanna | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-02-14 |
| 1679040943 | Jered Hill | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-10-25 |
| 1679054464 | Staci Leigh Clutter | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-08-28 |
| 1063905560 | Brooke M Scollin | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-06-08 |
| 1467943993 | Tabatha Ann Perreault | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804 | 2018-05-21 |
| 1013424597 | Kyle T Shroll | Physical Therapist | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1346609740 | Oussama Abousamra | Orthopaedic Surgery | 700 Childrens Dr Ste T2ea2700, Columbus, OH 43205-2664 | 2016-02-15 |
| 1821291576 | Sarah Rose Steward | Orthopaedic Surgery | 3333 W Tech Blvd, Miamisburg, OH 45342-0955 | 2007-06-08 |
| 1962495184 | John R. Kean | Orthopaedic Surgery | 479 Parsons Ave, Columbus, OH 43215-5577 | 2005-08-23 |
| 1184018491 | Pediatric Orthopedic Associates LLC | Orthopaedic Surgery | 7630 Kings Pointe Rd, Toledo, OH 43617-1500 | 2015-03-25 |
| 1902240211 | Craig Aaron Smith | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-04-18 |
| 1518209857 | Reid C Chambers | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-03-25 |
| 1700111887 | Amanda Tencza Whitaker | Orthopaedic Surgery | 700 Childrens Dr, Columbus, OH 43205-2664 | 2009-10-07 |
| 1659515575 | Adrian Anthony Lewis | Orthopaedic Surgery | 2121 Hughes Dr, Toledo, OH 43606-3845 | 2009-04-22 |
| 1356582167 | Pat M Riley Jr. | Orthopaedic Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2009-03-09 |
| 1023276763 | Alvin Christopher Jones | Orthopaedic Surgery | 1 Childrens Plz, Dayton, OH 45404-1873 | 2008-05-29 |
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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.