ELIZABETH R OTTEN (NPI# 1881995447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881995447 |
| Entity Type | Individual |
| Full Name | ELIZABETH R OTTEN |
| Other Name | ELIZABETH R PHILLIPS |
| Credential | PA-C |
| Practice Address |
370 N 120th Ave Holland MI 49424-2196 |
| Mailing Address |
4501 Versatile Ct Sw Wyoming MI 49418-8775 |
| Practice Telephone | 6163965855 |
| Practice Fax Number | 6163965720 |
| Mailing Telephone | 6162123624 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005945 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
370 N 120TH AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1841669868 | Lee Majeski | Nurse Practitioner | 370 N 120th Ave, Holland, MI 49424-2196 | 2015-09-21 |
| 1154719144 | Brian Willie | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-12-30 |
| 1316346752 | Elizabeth M Carlson | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-08-21 |
| 1215166913 | John Swartz | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-07-02 |
| 1134361033 | Brian W. Paff | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2009-03-24 |
| 1073768917 | Bruce Andrew Stewart | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424 | 2008-11-19 |
| 1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
| 1285842468 | John I Khoury | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719144 | Brian Willie | Physician Assistant | 370 N 120th Ave, Holland, MI 49424-2196 | 2014-12-30 |
| 1568559086 | Scott M Tuinstra | Physician Assistant | 3299 N Wellness Dr, Building C; Suite 240, Holland, MI 49424-7269 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| 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.