Kenneth H Ott (NPI# 1760596001, PAC ID# 2365404803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1760596001 |
| PAC ID by PECOS | 2365404803 |
| Professional Enrollment ID | I20041027001310 |
| Full Name | Kenneth H Ott |
| Organization Legal Name | NEUROSURGICAL MEDICAL CLINIC, INC, |
| Address |
9850 Genessee Ave Suite 770 La Jolla CA 92037-1232 |
| Phone Number | 6192974481 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3375584287 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050100 | SHARP MEMORIAL HOSPITAL |
| 050324 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| Address | Phone | Organization |
|---|---|---|
| 9850 Genessee Ave, Suite 770, La Jolla, CA 92037-1232 | 6192974481 | NEUROSURGICAL MEDICAL CLINIC, INC, |
| 3750 Convoy St, Suite 301, San Diego, CA 92111-3741 | 6192974481 | NEUROSURGICAL MEDICAL CLINIC, INC, |
| 7901 Frost St, San Diego, CA 92123-2701 | 8589393400 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| Organization Legal Name | NEUROSURGICAL MEDICAL CLINIC, INC, |
| Physicians | 1 |
| Street Address |
9850 GENESSEE AVE SUITE 770 |
| City | LA JOLLA |
| State | CA |
| Zip | 92037-1232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond I Fink | Internal Medicine | Diabetes and Endocrine Associates | 9850 Genessee Ave, Suite 415, La Jolla, CA 92037-1208 |
| Christopher E Sadler | Physician Assistant | Diabetes and Endocrine Associates | 9850 Genessee Ave, Suite 415, La Jolla, CA 92037-1208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjan Davoudi | Psychologist, Clinical | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | |
| Vanessa R Wang | Physician Assistant | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Robert R Varney | Interventional Radiology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Gordon Lee Kim | Gastroenterology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Peter D Aldrich | Internal Medicine | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Katrina I Deleon | Geriatric Medicine | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Virginia T Chan | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Laura J Nicholson | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Christopher L Marsh | Urology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Shazia M Jamil | Critical Care (intensivists) | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Find all physicians in zip 92037 | |||
| City | LA JOLLA |
| Zip Code | 92037 |
| Specialty | NEUROSURGERY |
| City + Specialty | LA JOLLA + NEUROSURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.