BRANDON OTO (NPI# 1427431212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427431212 |
| Entity Type | Individual |
| Full Name | BRANDON OTO |
| Credential | PA-C |
| Practice Address |
263 Farmington Avenue Farmington CT 06030 |
| Mailing Address |
263 Farmington Avenue Farmington CT 06030-8082 |
| Practice Telephone | 8606793343 |
| Practice Fax Number | 8606794256 |
| Mailing Telephone | 8606793343 |
| Mailing Fax Number | 8606794256 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004365 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C05853 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 North Wolfe St, Halsted 600, Johns Hopkins Hospital, Physician Assistant Residency, Baltimore, MD 212875601 | 8313322094 |
| Street Address |
263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466561 | State of Connecticut | Clinic/Center | 263 Farmington Avenue, Farmington, CT 06030-5355 | 2005-09-07 |
| 1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
| 1154930956 | Lindsay Allison Petriello | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2020-07-28 |
| 1891304663 | Kara Dazkevich | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2020-07-28 |
| 1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
| 1457975070 | Shriya Gupta | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 | 2020-05-29 |
| 1114540150 | Carolina Mendes Pessoa | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 | 2020-05-26 |
| 1457971293 | Christopher Dalton Lemoine | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-22 |
| 1871112953 | Cory Hewitt | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2020-04-09 |
| 1154940310 | Jeffrey Henry | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-1930 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068538 | Lauren Rose Payne | Physician Assistant | 5610 State Route 96, Farmington, NY 14425-8901 | 2020-06-23 |
| 1003439936 | Lisa Petricca | Physician Assistant | 28 Berkshire Dr, Farmington, CT 06032-2506 | 2020-05-27 |
| 1710544945 | Najia Wasiuddin | Physician Assistant | 35031 Drakeshire Ln Apt 204, Farmington, MI 48335-3220 | 2019-05-22 |
| 1083189880 | Sarah E Hudson | Physician Assistant | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2018-10-08 |
| 1003307109 | Jason S. Pinho | Physician Assistant | 399 Farmington Ave Ste 110, Farmington, CT 06032-1944 | 2018-05-23 |
| 1659747475 | Arsalan Ahsan | Physician Assistant | 36545 Saxony Rd, Farmington, MI 48335-3022 | 2015-08-16 |
| 1083970297 | Elizabeth Ann Putt | Physician Assistant | 33166 Maplenut St, Farmington, MI 48336-4437 | 2012-04-02 |
| 1275782997 | Sarah Marie Zimmerman | Physician Assistant | 23133 Orchard Lake Rd Ste 100, Farmington, MI 48336-3278 | 2008-09-17 |
| 1104002849 | Stephanie Behrens | Physician Assistant | 21 South Rd Ste 110, Farmington, CT 06032-2482 | 2008-01-11 |
| 1619033388 | Kathleen A. Lillicraf | Physician Assistant | John Dempsey Hospital: Dept of Anesthesiology, 263 Farmington Avenue, Mc-2015, Farmington, CT 06030-0001 | 2006-12-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.