DR. JOSE JAVIER OTERO (NPI# 1285969717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285969717 |
| Entity Type | Individual |
| Full Name | DR. JOSE JAVIER OTERO |
| Credential | M.D., PH.D. |
| Practice Address |
333 W 10th Ave Ste 4171 Columbus OH 43210-1239 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
| Practice Telephone | 6142928881 |
| Practice Fax Number | 6142925849 |
| Mailing Telephone | 6146856799 |
| Mailing Fax Number | 6142925849 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
35099900 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
35099900 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0072366 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233789 | Jose Antonio Otero | Contractor | H346 Calle 7, Rio Grande, PR 00745-3329 | 2018-05-01 |
| 1447616024 | Jose Otero | Pharmacy Technician | Quintas Del Rio D-12, Camino Del Chalet, Bayamon, PUERTO RICO 00961 | 2016-01-12 |
| 1497047880 | Jose Otero | Massage Therapist | 13708 Sw 149th Circle Ln # 2-58, Miami, FL 33186-8236 | 2011-05-04 |
| 1912941618 | Jose Carlos Otero | Dentist | 1445 5th St, Vero Beach, FL 32962-2116 | 2006-06-15 |
| 1487119277 | Jose Otero | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-02-05 |
| 1194099887 | Jose Miguel Otero | Anesthesiology | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2012-02-28 |
| 1033176763 | Jose E. Otero | Plastic Surgery | 6367 Alvarado Ct, #104, San Diego, CA 92120 | 2006-04-27 |
| Street Address |
333 W 10TH AVE STE 4171 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114243391 | Peter J Kobalka | Pathology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2010-04-14 |
| 1699909846 | Andreana Laura Rivera | Pathology | 410 W 10th Ave, 4182 Graves Hall, Columbus, OH 43210-1240 | 2009-05-03 |
| 1639120777 | Christopher Pierson | Pathology | 700 Childrens Dr, Nationwide Childrens Hospital, Columbus, OH 43205-2664 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747036 | Gordon N Shecket | Pathology | 501 Greenglade Ave, Worthington, OH 43085-2291 | 2005-08-12 |
| 1447411251 | Matthew Carlisle Hagen | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2008-06-24 |
| 1295754448 | Gabrielle Decourten-myers | Pathology | 231 Albert Sabin Way, Department of Pathology, Cincinnati, OH 45267-0001 | 2006-07-19 |
| 1174551717 | Dan X Cai | Pathology | 2500 Metrohealth Dr, Mhmc-pathology, Cleveland, OH 44109-1900 | 2006-06-30 |
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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.