DR. DOUGLAS E OTT (NPI# 1427260231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427260231 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS E OTT |
| Credential | MD |
| Practice Address |
2410 Ingleside Ave Macon GA 31204-2036 |
| Mailing Address |
109 Preston Ct Macon GA 31210-5769 |
| Practice Telephone | 4784778996 |
| Mailing Telephone | 4784778996 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
AO9098294 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00255824E | 05 |
| Street Address |
2410 INGLESIDE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811922156 | Central Georgia Women's Health Center, LLC | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2006-07-12 |
| 1023643194 | Dale Vance | Nurse Practitioner | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2020-03-09 |
| 1518476738 | Georgia Medical Group, LLC | Family Medicine | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2017-09-20 |
| 1912454869 | Focused Care of Georgia LLC | Clinic/Center | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2016-09-08 |
| 1467695882 | Central Georgia Gynecology II LLC | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2009-04-15 |
| 1184754889 | Central Ga Women's Health Center 2 LLC | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2007-03-06 |
| 1851460125 | Paul A Mossman | Family Medicine | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2006-11-08 |
| 1952470239 | Yvonne P Mcallister | Family Medicine | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912009572 | Carol Dooley Wanna | Obstetrics & Gynecology | 1327 Stadium Dr, Macon, GA 31207-8639 | 2006-09-03 |
| 1477663029 | James Terrell Pope | Obstetrics & Gynecology | 1062 Forsyth St Ste 3b, Macon, GA 31201 | 2006-08-30 |
| 1811922156 | Central Georgia Women's Health Center, LLC | Obstetrics & Gynecology | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2006-07-12 |
| 1346204724 | A Taylor Coppage IIi | Obstetrics & Gynecology | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-13 |
| 1891086542 | Raimot A Olanrewaju | Obstetrics & Gynecology | 639 Hemlock St, Macon, GA 31201-6886 | 2011-04-28 |
| 1265542815 | Thomas Earl Kehl | Obstetrics & Gynecology | 1062 Forsyth St, Suite 3 B, Macon, GA 31201 | 2006-08-30 |
| 1538279187 | Carl Clifton Schuessler | Obstetrics & Gynecology | 1062 Forsyth St, Ste 3b, Macon, GA 31201 | 2006-08-30 |
| 1811007461 | John Jahu Barnes | Obstetrics & Gynecology | 1062 Forsyth St, Suite 3 B, Macon, GA 31201 | 2006-08-30 |
| 1023128675 | Stephen Michael Durso | Obstetrics & Gynecology | 1062 Forsyth St, Ste 3-b, Macon, GA 31201 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| 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.