CHRIS OTTO (NPI# 1982051850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982051850 |
| Entity Type | Individual |
| Full Name | CHRIS OTTO |
| Credential | PA |
| Practice Address |
3236 E Grand Ave Ste D Laramie WY 82070-5100 |
| Practice Telephone | 3077608602 |
| Practice Fax Number | 3074609880 |
| Mailing Telephone | 3077608602 |
| Mailing Fax Number | 3074609880 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA734 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3236 E GRAND AVE STE D |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497184378 | John Jacobs IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2013-11-01 |
| 1477109445 | Philip Lerory Sanders IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2019-08-14 |
| 1174983118 | Grand Avenue Urgent Care, LLC | Clinic/Center | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| 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.