MR. CARL FREDRICK OLTMAN SR. (NPI# 1407107675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407107675 |
| Entity Type | Individual |
| Full Name | MR. CARL FREDRICK OLTMAN SR. |
| Credential | PA-C |
| Practice Address |
1003 Tyler Ave Annapolis MD 21403-1909 |
| Practice Telephone | 4109910493 |
| Practice Fax Number | 4102677892 |
| Mailing Telephone | 4109910493 |
| Mailing Fax Number | 4102677892 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
COOO1407 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1003 TYLER AVE |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518277698 | Uwe Reichmann | Physician Assistant | 129 Lubrano Dr Ste 200, Annapolis, MD 21401-7567 | 2010-10-07 |
| 1639408644 | William E Burke | Physician Assistant | 3205 Chrisland Dr, Annapolis, MD 21403-4351 | 2009-12-22 |
| 1568545515 | James F Heins Jr. | Physician Assistant | 2002 Medical Pkwy Ste 630, Annapolis, MD 21401-3059 | 2006-10-23 |
| 1811996291 | Carol A. Jerosimich | Physician Assistant | 170 Jennifer Rd Ste 240, Annapolis, MD 21401-7995 | 2005-07-19 |
| 1568907947 | Michelle Arey | Physician Assistant | 2002 Medical Parkway, Suite 500, Annapolis, MD 21401-3046 | 2016-12-21 |
| 1306238308 | Ashlyn Nicole Yannitello | Physician Assistant | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2015-02-27 |
| 1942606462 | Sara Makrinos | Physician Assistant | 116 Defense Hwy, Suite 403, Annapolis, MD 21401-7027 | 2014-11-11 |
| 1972949543 | Melissa Nicole Corbin | Physician Assistant | 2448 Holly Ave, Suite 101, Annapolis, MD 21401-3148 | 2013-05-22 |
| 1447500707 | Michael-anne Ashford | Physician Assistant | 2002 Medical Pkwy, Ste 500, Annapolis, MD 21401-3046 | 2012-09-13 |
| 1154613966 | Angela Marie Redpath | Physician Assistant | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3046 | 2011-05-11 |
| Find all providers in ANNAPOLIS | ||||
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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.