DR. LEO D. OTTONI (NPI# 1417928102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417928102 |
| Entity Type | Individual |
| Full Name | DR. LEO D. OTTONI |
| Credential | M.D. |
| Practice Address |
2070 Biddle Ave Suite 200 Wyandotte MI 48192-4080 |
| Mailing Address |
1640 Fort Street Suite D Attn: Denise Trenton MI 48183 |
| Practice Telephone | 7342259100 |
| Practice Fax Number | 7342259100 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
LO046410 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 0H28427 | 01 |
| MI | 2591422 | 05 |
| Street Address |
2070 BIDDLE AVE SUITE 200 |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548231384 | Henri M. Pierre-jacques | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-01-30 |
| 1699102244 | Henry Ford Wyandotte Hospital | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2013-09-27 |
| 1336496793 | Sueann Isabella Hurd | Nurse Practitioner | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2012-08-04 |
| 1336448521 | Jessica Ann Lakey | Nurse Practitioner | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2011-03-28 |
| 1669797031 | Michael E Scott | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2010-03-29 |
| 1568671964 | Michael Douglas Callan | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2007-05-22 |
| 1740309624 | Jason Omar Holcomb | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2007-03-29 |
| 1265516967 | Ashish Gupta | Surgery | 2070 Biddle Ave, Suite 1, Wyandotte, MI 48192-4080 | 2006-10-25 |
| 1740364470 | Ashish Gupta Md PC | Surgery | 2070 Biddle Ave, Suite 1, Wyandotte, MI 48192-4080 | 2006-10-25 |
| 1982784336 | Daniel W Olenchak | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102244 | Henry Ford Wyandotte Hospital | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
| 1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
| 1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
| 1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
| 1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
| 1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
| 1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
| 1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
| 1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
| 1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
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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.