DR. PAUL ZACHARY OTTIS (NPI# 1215323639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215323639 |
| Entity Type | Individual |
| Full Name | DR. PAUL ZACHARY OTTIS |
| Credential | M.D. |
| Practice Address |
2501 Crestwood Rd Ste 204 North Little Rock AR 72116-7616 |
| Mailing Address |
701 Fairfax Dr Birmingham AL 35209-4411 |
| Practice Telephone | 5017534132 |
| Practice Fax Number | 5017537215 |
| Mailing Telephone | 4055906956 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-12387 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD.37509 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Fairfax Dr, Birmingham, AL 35209 | 4055906956 |
| Street Address |
2501 CRESTWOOD RD STE 204 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-7616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| 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 |
|---|---|---|---|---|
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1407322605 | Dr Q Pain & Spine Clinic, Pa | Family Medicine | 3901 Mccain Park Dr Ste 102, North Little Rock, AR 72116-7849 | 2018-10-16 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1982039848 | Pamela Jean Kiser | Family Medicine | 1021e Washington Ave, North Little Rock, AR 72114-5853 | 2013-09-11 |
| 1003169111 | Kelli Keene Sanders, Md Inc | Family Medicine | 505 W Pershing Blvd Ste B, North Little Rock, AR 72114-2157 | 2012-10-26 |
| 1467692103 | Gustavus Family Clinic | Family Medicine | 7418 N Hills Blvd, North Little Rock, AR 72116-4525 | 2009-02-20 |
| 1457459182 | Gregory S. Harrington | Family Medicine | 2508 Crestwood Rd, North Little Rock, AR 72116-7623 | 2006-09-20 |
| 1740299478 | Arkansas Health Group | Family Medicine | 505 W Pershing Blvd Ste C, North Little Rock, AR 72114-2157 | 2006-08-05 |
| 1306870068 | Angela R Driskill | Family Medicine | 3333 Springhill Dr Ste 2002, North Little Rock, AR 72117-2922 | 2006-07-10 |
| 1295776045 | Norman R. Pledger | Family Medicine | 5207 E Broadway St, North Little Rock, AR 72117-4029 | 2006-06-10 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
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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.