DR. KRISTIN PRENTISS OTT (NPI# 1669615175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669615175 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN PRENTISS OTT |
| Other Name | KRISTIN JOY PRENTISS |
| Credential | M.D. |
| Practice Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
| Mailing Address |
5629 Highway 21 S Rincon GA 31326-9416 |
| Practice Telephone | 9122952133 |
| Mailing Telephone | 9122952133 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 069835 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192078 | Kristin Ott | Counselor | 23317 Edmonds Way, Apt 1, Edmonds, WA 98026-8689 | 2016-09-12 |
| 1972641553 | Kristin Lara Ott | Physical Therapist | 3195 Stillwater Dr, Prescott, AZ 86305-7171 | 2007-02-03 |
| Street Address |
11705 MERCY BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001486 | Dennis A.k. Rice | Pharmacist | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-05-27 |
| 1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
| 1003380304 | Claudia Ellis | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419 | 2019-01-20 |
| 1144795543 | Angela Darlene Gerrald | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1791 | 2018-10-11 |
| 1720570211 | Jessica Hendley | Nurse Anesthetist, Certified Registered | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-05-31 |
| 1063912053 | Abigail White | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-02-15 |
| 1861907446 | Anna Dilworth Warren | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-12-05 |
| 1740791813 | Emma Helmken | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-10-17 |
| 1619363561 | Evan John Van Peursem | Anesthesiology | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2015-04-07 |
| 1578967535 | Amy Marie Scroggin | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2014-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478651 | John Davidson Carson | Emergency Medicine | 318 Mall Blvd Ste 300b, Savannah, GA 31406-4758 | 2007-01-02 |
| 1588687057 | Lester M Haddad | Emergency Medicine | 11909a Mcauley Drive, Savannah, GA 31419 | 2006-07-25 |
| 1639191877 | Douglas Richard Stutzman | Emergency Medicine | 107 1/2 W Gordon St, Savannah, GA 31401-4908 | 2006-07-24 |
| 1912948589 | Amanda H. Cowan | Emergency Medicine | 361 Commercial Dr, Savannah, GA 31406-3659 | 2006-06-08 |
| 1306891395 | Charles T Leewood | Emergency Medicine | 5356 Reynolds St, 201, Savannah, GA 31405-6016 | 2006-05-24 |
| 1346228962 | Obayode Ayewa | Emergency Medicine | 15 Medical Arts Ctr, Savannah, GA 31405-4414 | 2006-01-04 |
| 1477543130 | Ismael G Montes Md PC | Emergency Medicine | 37 Cove Dr, Savannah, GA 31419-9579 | 2005-10-25 |
| 1649279951 | Robert Alexander Mazur | Emergency Medicine | 5 Executive Cir, Savannah, GA 31406-3345 | 2005-07-19 |
| 1194231860 | Benjamin Foster | Emergency Medicine | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-12-18 |
| 1497288369 | Robert Kregg Laundon | Emergency Medicine | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-04-07 |
| Find all providers in SAVANNAH | ||||
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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.