KEVIN WAYNE OTT (NPI# 1386646784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386646784 |
| Entity Type | Individual |
| Full Name | KEVIN WAYNE OTT |
| Credential | D.O. |
| Practice Address |
1537 Elmira St Sayre PA 18840 |
| Mailing Address |
1537 Elmira St Sayre Va Cboc Sayre PA 18840 |
| Practice Telephone | 5708886803 |
| Practice Fax Number | 6076644645 |
| Mailing Telephone | 5708886803 |
| Mailing Fax Number | 6076644645 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 251466 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00141342 | 01 | |
| NH | ANTHEM BC/BS | 04YP07288NH02 | 01 |
| FEDERAL DEA# | BO8723783 | 01 | |
| NH | 30223020 | 05 | |
| NH | CIGNA HEALTHCARE | 0125497 | 01 |
| NH | STATE LICENSE # | 12402 | 01 |
| FEDERAL TAX ID# | 020350051 | 01 | |
| NH | AETNA GROUP | 5830418 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396197851 | Kevin Ott | Social Worker | 407 Sherman Ave, Suite C, Palo Alto, CA 94306-1873 | 2016-07-08 |
| Street Address |
1537 ELMIRA ST |
| City | SAYRE |
| State | PA |
| Zip Code | 18840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941351 | Shawn Trevor Bunnell | Nurse Practitioner | 1537 Elmira St, Sayre, PA 18840-9254 | 2020-01-25 |
| 1922644301 | Jenna Ruth Crawford | Social Worker | 1537 Elmira St, Sayre, PA 18840-9254 | 2019-11-21 |
| 1437719259 | Denise Carolyn Hamilton | Dietitian, Registered | 1537 Elmira St, Sayre, PA 18840-9254 | 2019-06-14 |
| 1972053056 | Catherine Ball | Dietitian, Registered | 1537 Elmira St, Sayre, PA 18840-9254 | 2016-10-12 |
| 1114036035 | Deanna Antonow | Nutritionist | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-08-30 |
| 1831117985 | Michael Francis Boyek | Family Medicine | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-07-17 |
| 1609892512 | Richard Lee Eller | Internal Medicine | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-07-14 |
| 1669410262 | Wilkes Barre Vamc | Clinic/Center | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-06-04 |
| 1700851839 | Amy G Welch | Physician Assistant | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
| 1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
| 1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
| 1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
| 1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
| 1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
| 1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
| 1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
| 1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
| 1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
| Find all providers in zip 18840 | ||||
| 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 |
|---|---|---|---|---|
| 1548787245 | Proximity Health Care LLC | Family Medicine | 1415 N Watts, Sayre, OK 73662-1310 | 2017-08-24 |
| 1083879555 | Michael L. Robinson | Family Medicine | 1505 Watts St, Sayre, OK 73662-1312 | 2008-07-24 |
| 1942464425 | Physiciancare, PC | Family Medicine | 330 N. Keystone Ave., Sayre, PA 18840 | 2008-07-15 |
| 1376762757 | K E Whinery Md PC | Family Medicine | 1505 North Watts, Sayre, OK 73662 | 2007-04-24 |
| 1730236795 | James T Cail IIi Do Family Practice PC | Family Medicine | 1603 N Watts St, Sayre, OK 73622 | 2007-01-04 |
| 1881773703 | Treva Jo Graham | Family Medicine | 1002 Ne Highway 66, Ste 2, Sayre, OK 73662-9305 | 2006-11-02 |
| 1609308618 | Kristen Marie Nash | Family Medicine | 1 Guthrie Sq, Family Medicine Residency - Guthrie/robert Packer, Sayre, PA 18840-1625 | 2017-03-29 |
| 1326427063 | Ashley Beth Cipriano | Family Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2015-05-27 |
| 1801299607 | Sayre Memorial Hospital, Inc. | Family Medicine | 1002 Ne Highway 66, Suite 1, Sayre, OK 73662-9312 | 2014-10-07 |
| 1831506039 | Moira Cinthuja Cyril | Family Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2014-07-20 |
| Find all providers in SAYRE | ||||
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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.