JACK F OTTENI (NPI# 1205885597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205885597 |
| Entity Type | Individual |
| Full Name | JACK F OTTENI |
| Credential | M.D. |
| Practice Address |
70 Medical Center Cir Suite 110 Fishersville VA 22939-2273 |
| Practice Telephone | 5403325850 |
| Practice Fax Number | 5403325851 |
| Mailing Telephone | 5403325850 |
| Mailing Fax Number | 5403325851 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101234631 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006410031 | 05 |
| Street Address |
70 MEDICAL CENTER CIR SUITE 110 |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281393 | Blue Ridge Pathologists PC | Pathology | 70 Medical Center Cir, Suite 309, Fishersville, VA 22939-2273 | 2005-08-04 |
| 1437779279 | Alexandra Hersch | Specialist/Technologist | 70 Medical Center Cir, Fishersville, VA 22939-2273 | 2020-04-22 |
| 1386197101 | Daina Ann Sisk | Audiologist | 70 Medical Center Cir, Suite 204, Fishersville, VA 22939-2273 | 2016-07-28 |
| 1073922811 | Tonia Lee Martin | Nurse Practitioner | 70 Medical Center Cir, Ste 213, Fishersville, VA 22939 | 2014-08-06 |
| 1780026757 | Joe Surratt | Nurse Practitioner | 70 Medical Center Cir, Suite 302, Fishersville, VA 22939-2273 | 2013-07-19 |
| 1922359041 | Kristin Leanne Hanger | Nurse Practitioner | 70 Medical Center Cir, Suite 302, Fishersville, VA 22939-2273 | 2012-09-28 |
| 1841505765 | Nancy Carol Heidel | Pharmacist | 70 Medical Center Cir, Suite 101, Fishersville, VA 22939-2273 | 2010-08-16 |
| 1700110475 | Emily Morgan Greene | Physician Assistant | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2009-09-28 |
| 1043461064 | Brian Carr Stisser | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2008-10-08 |
| 1588813836 | Augusta Medical Group | Family Medicine | 70 Medical Center Cir, Suite 301, Fishersville, VA 22939-2273 | 2008-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376786251 | Sophia Leung | Orthopaedic Surgery | 70 Medical Center Cir Ste 110, Fishersville, VA 22939-2273 | 2009-04-08 |
| 1538363379 | Daniel Brian Dean | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2007-06-14 |
| 1750330940 | Orthopedic Associates, Ltd | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2006-05-08 |
| 1801845185 | David A Burgess | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2006-05-06 |
| 1528017811 | Thomas R Pereles | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2006-05-06 |
| 1770531378 | Ramon C Esteban | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2006-05-05 |
| 1790743987 | Kenneth A Boatright | Orthopaedic Surgery | 70 Medical Center Cir, Suite 110, Fishersville, VA 22939-2273 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695059 | Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | 450 Garrisonville Rd Ste 101, Stafford, VA 22554-1615 | 2020-09-30 |
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1154946093 | Orthovirgina, Inc. | Orthopaedic Surgery | 1760 Old Meadow Rd Ste 500, Mc Lean, VA 22102-4306 | 2020-06-16 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1649810805 | Anderson Clinic Inc | Orthopaedic Surgery | 3299 Woodburn Rd Ste 480, Annandale, VA 22003-7333 | 2020-01-15 |
| 1871136622 | Orthovirginia Inc. | Orthopaedic Surgery | 24600 Millstream Dr Ste 380, Aldie, VA 20105-5686 | 2019-10-24 |
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| City | FISHERSVILLE |
| Zip Code | 22939 |
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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.