MARY A OTT (NPI# 1386751881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386751881 |
| Entity Type | Individual |
| Full Name | MARY A OTT |
| Credential | MD |
| Practice Address |
1701 N Senate Ave Dept of Pediatrics Indianapolis IN 46202-5306 |
| Mailing Address |
Po Box 1026 Indianapolis IN 46206-1026 |
| Practice Telephone | 3179628067 |
| Practice Fax Number | 3179623796 |
| Mailing Telephone | 3172741201 |
| Mailing Fax Number | 3172789905 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01058102 | IN | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
01058102 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200454610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408127 | Mary N Ott | Registered Nurse | 12565 W Center Rd, Suite 100, Omaha, NE 68144-3802 | 2013-06-27 |
| 1750621264 | Mary Beth Ott | Counselor | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 | 2013-02-20 |
| 1619993508 | Mary Jane Ott | Nurse Practitioner | 44 Binney St, Boston, MA 02115-6013 | 2006-07-14 |
| Street Address |
1701 N SENATE AVE DEPT OF PEDIATRICS |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533010 | Alexander Mao Yeh | Radiology | 1701 N Senate Ave, Radiation Therapy, Indianapolis, IN 46202-5306 | 2005-07-22 |
| 1962002238 | Brittany Taylor Frees | Nurse Practitioner | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-10-27 |
| 1609473081 | Robert Garland Green Jr. | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-10-08 |
| 1174131445 | Lauren Dickerson | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-07-22 |
| 1710506407 | Monika Tilmans | Student in an Organized Health Care Education/Training Program | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-04-13 |
| 1790304632 | Patrick Donald Wurster | Student in an Organized Health Care Education/Training Program | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-04-10 |
| 1447890074 | Amanda Van Milligan | Counselor | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-01-12 |
| 1912543281 | Eric Brassfield | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-11-21 |
| 1255984597 | Lindsay Perius | Physician Assistant | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-07-16 |
| 1861057176 | Tiffany Rader | Clinical Nurse Specialist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168914 | Lauren Arnold Bell | Pediatrics | 410 W 10th St Ste 1001, Indianapolis, IN 46202-3011 | 2017-04-19 |
| 1699946046 | John T Young, Md | Pediatrics | 3231 N Meridian St, Suite 200, Indianapolis, IN 46208-5848 | 2008-03-13 |
| 1356537351 | Rebekah Lee Williams | Pediatrics | 705 Riley Hospital Dr, Attn: Adolescent Medicine, Indianapolis, IN 46202-5109 | 2007-09-24 |
| 1114122017 | Cynthia Lynn Robbins | Pediatrics | 705 Riley Hospital Dr, Msa 2, Indianapolis, IN 46202-5109 | 2007-06-19 |
| 1639372170 | Laura M. Kester | Pediatrics | 410 W 10th St, Hs 1001, Indianapolis, IN 46202-3010 | 2007-06-11 |
| 1487787354 | Step By Step Pediatrics, LLC | Pediatrics | 6920 Parkdale Pl, Suite 109, Indianapolis, IN 46254-5612 | 2007-03-13 |
| 1720173156 | Philomena Jacintha Dias | Pediatrics | 3838 N. Rural, Indianapolis, IN 46205-2930 | 2006-10-03 |
| 1194837575 | Krista I Santos | Pediatrics | 6920 Parkdale Place, Suite 109, Indianapolis, IN 46254 | 2006-08-31 |
| 1578509345 | Mary D Rouse | Pediatrics | 6640 Intech Blvd, Suite 195, Indianapolis, IN 46278-2011 | 2006-06-21 |
| 1366489734 | Anne J Stump | Pediatrics | 6920 Parkdale Pl, Ste 109, Indianapolis, IN 46254-9998 | 2006-06-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on MARY A OTT.
| 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.