ANDREA L OTT


Address: 812 N 22nd Street, Blair Clinic, Blair, NE 68008
Phone: 4024264611

ANDREA L OTT (NPI# 1619114246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619114246
Entity Type Individual
Full Name ANDREA L OTT
Credential PA-C
Practice Address 812 N 22nd Street
Blair Clinic
Blair
NE 68008
Mailing Address 810 N 22nd Street
Mch & Health System
Blair
NE 68008
Practice Telephone 4024264611
Mailing Telephone 4024262182
Mailing Fax Number 4024261297
Enumeration Date 2009-01-20
Last Update Date 2010-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1416 NE Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
1416 NE Physician Assistants & Advanced Practice Nursing Providers

Other Providers ANDREA OTT

NPI Name Taxonomy Address Enumeration
1568746188 Andrea De Ott Social Worker 100 Melrose Ave Ste 103, Greenwich, CT 06830-6277 2011-09-30
1760873673 Andrea Ott Counselor 1739 E 23rd St, Lawrence, KS 66046-5017 2015-02-13

Office Location

Street Address 812 N 22ND STREET
BLAIR CLINIC
City BLAIR
State NE
Zip Code 68008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747080 Mark Allen Kwikkel Specialist/Technologist 310 N 10th, Blair, NE 68008 2020-07-17
1750752432 Mindy Logston Speech-Language Pathologist 1717 Adams Street, Blair, NE 68008 2015-10-07
1952545709 Home Care Network, Inc Nursing Care 14700 State Highway 133, Blair, NE 68008 2009-04-23
1730376047 Assisted Living Concepts Inc Assisted Living Facility 1028 Joann Drive, Blair, NE 68008 2007-10-01
1497956478 Charles Leroy Gleeson Pharmacist 9889 Cr 29, Blair, NE 68008 2007-05-29
1144322082 Richard K Ward Emergency Medicine 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 2006-09-01
1942319116 Lisa A. Babcock Audiologist 11223 N. Lakeshore Dr., Blair, NE 68008 2006-08-30
1841637139 Paula J. Thielen-kocharov Family Medicine 812 N 22nd St, Blair, NE 68008 2013-05-28
1588849848 Vision Care Clinic PC Optometrist 1526 Washington St, Blair, NE 68008 2008-01-07
1679630941 Michael W. Suing Nurse Anesthetist, Certified Registered 810 N 22nd St, Blair, NE 68008 2007-01-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184779241 Susan Ryan Physician Assistant 718 S 19th St, Blair, NE 68008-1887 2007-01-25
1780161109 Elizabeth Otte Physician Assistant 812 N 22nd St, Blair, NE 68008-1128 2018-07-27
1942361845 Suzanne M Nass Physician Assistant 407 S 19th St, Blair, NE 68008-1907 2006-12-13
1659325033 Derek M Nelson Physician Assistant 810 N 22nd St, Blair, NE 68008-1128 2006-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770184434 Jacob Solomon Morrill Physician Assistant 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 2020-11-07
1609475375 Patrick Donald Heavey Physician Assistant 4660 Pine St, Omaha, NE 68106-2520 2020-10-22
1780297440 Tayler Marie Llewellyn Physician Assistant 17241 Oak Dr, Omaha, NE 68130-2428 2020-08-24
1154933992 Alexandria Rae Mctaggart Physician Assistant 5024 S 130th St, Omaha, NE 68137-1820 2020-08-22
1477170082 Audrey Caroline Smith Physician Assistant 1303 N 188th St, Elkhorn, NE 68022-4501 2020-06-30
1851917181 Connor Evan Bliss Physician Assistant 2908 W 39th St Ste D, Kearney, NE 68845-1245 2020-06-23
1124651443 Kathryn A Kesti Physician Assistant 4242 Farnam St Ste 500, Omaha, NE 68131-2850 2020-02-14
1760014757 Timothy Shew Physician Assistant 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 2020-02-07
1659901601 Jordan Marie Morris Physician Assistant 821 Bordeaux St, Chadron, NE 69337-2614 2020-01-17
1083264303 Alicia K Clough Physician Assistant 15236 Westchester Dr, Omaha, NE 68154-2060 2019-09-18
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Competitor

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City BLAIR
Zip Code 68008

Improve Information

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Dataset Information

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.

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