DYLAN C OTERO (NPI# 1720597909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720597909 |
| Entity Type | Individual |
| Full Name | DYLAN C OTERO |
| Practice Address |
2150 Highway 54 S Alamogordo NM 88310-7330 |
| Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
| Practice Telephone | 5754438133 |
| Practice Fax Number | 5754438055 |
| Mailing Telephone | 5752673280 |
| Mailing Fax Number | 5752671747 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2017-0068 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2150 HIGHWAY 54 S |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-7330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667131 | Christopher George Waggoner | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2005-08-30 |
| 1487125043 | Sarah Plante | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310 | 2018-12-07 |
| 1407205552 | Cecelia Bernal | Social Worker | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2016-06-09 |
| 1972978906 | Lisa Y Gomez | Counselor | 2150 Highway 54 S, Ste 201b, Alamogordo, NM 88310-7330 | 2015-12-02 |
| 1154791077 | Kimberly A Lunar | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2015-10-05 |
| 1629456751 | Kathleen Schuman | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2015-05-08 |
| 1265857601 | Tyrell C Dean | Dentist | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2014-02-21 |
| 1437416567 | Bobi Jo Lasalle | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2012-04-13 |
| 1780972513 | Andrea Ocasio | Nurse Practitioner | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2011-07-13 |
| 1477865764 | Javier Salazar Jr. | Family Medicine | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2010-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| 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 |
|---|---|---|---|---|
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1871950162 | Challenger Emergency Physicians, LLC | Physician Assistant | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2016-01-19 |
| 1780041079 | Ambassador Emergency Physicians LLC | Physician Assistant | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2016-01-19 |
| 1952633034 | New Mexico Em-i Medical Services, P.c | Physician Assistant | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2010-02-01 |
| 1184667164 | Heather Lea Davis | Physician Assistant | 1401 10th St, Ste C, Alamogordo, NM 88310-5012 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405442 | Lauren Elise Pincomb Apodaca | Physician Assistant | 2415 Janet Ann Ln, Las Cruces, NM 88007-5119 | 2020-10-24 |
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1306478870 | Holly Howe | Physician Assistant | 2300 Grande Blvd Se # 4045, Rio Rancho, NM 87124-1755 | 2020-02-12 |
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1033752357 | Daniel Ray Spohn | Physician Assistant | 1630 Rio Rancho Dr Se, Rio Rancho, NM 87124-1587 | 2019-10-18 |
| 1528615101 | Michael La | Physician Assistant | 1202 Main St Ne Ste A, Los Lunas, NM 87031-7421 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.