Stavroula A Otis (NPI# 1477677557, PAC ID# 2567624976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY.
| Nation Provider ID (NPI) | 1477677557 |
| PAC ID by PECOS | 2567624976 |
| Professional Enrollment ID | I20120501000663 |
| Full Name | Stavroula A Otis |
| Organization Legal Name | CENTER FOR CANCER AND BLOOD DISORDERS |
| Address |
1401 N Tustin Ave Suite 220 Santa Ana CA 92705-8689 |
| Phone Number | 7148354800 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | HEMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE, MEDICAL ONCOLOGY |
| Group Practice PAC ID | 9537425996 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050069 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1401 N Tustin Ave, Suite 220, Santa Ana, CA 92705-8689 | 7148354800 | CENTER FOR CANCER AND BLOOD DISORDERS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 68% | |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 100% |
| Organization Legal Name | CENTER FOR CANCER AND BLOOD DISORDERS |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward R Alexson | Hematology/oncology | Center for Cancer and Blood Disorders | 1401 N Tustin Ave, Suite 220, Santa Ana, CA 92705-8689 |
| Street Address |
1401 N TUSTIN AVE SUITE 220 |
| City | SANTA ANA |
| State | CA |
| Zip | 92705-8689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward R Alexson | Hematology/oncology | Center for Cancer and Blood Disorders | 1401 N Tustin Ave, Suite 220, Santa Ana, CA 92705-8689 |
| John G Duffy | Psychiatry | 1401 N Tustin Ave, Suite 130, Santa Ana, CA 92705-8675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emerick K Nakasone | Optometry | 2390 N Tustin Ave, Suite B, Santa Ana, CA 92705-1657 | |
| Brian H Wikoff | Chiropractic | 2431 N Tustin Ave A, Santa Ana, CA 92705-1660 | |
| Eric Jason Bender | Optometry | 13972 Laurinda Way, North Tustin, CA 92705-2640 | |
| John M Maggiano | Ophthalmology | Orange County Retina Medical Group | 1200 N Tustin Ave, Suite 140, Santa Ana, CA 92705-3501 |
| Rajiv R Rathod | Ophthalmology | Orange County Retina Medical Group | 1200 N Tustin Ave, Suite 140, Santa Ana, CA 92705-3501 |
| Michael A Sheety | Ophthalmology | Michael Sheety, M.d., Inc | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3501 |
| Mei Liu | Optometry | Orange County Retina Medical Group | 1200 N Tustin Ave, Suite 140, Santa Ana, CA 92705-3501 |
| Tsung L Tsou | Anesthesiology | Orange Coast Anesthesia Inc | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 |
| Jack L Chen | Diagnostic Radiology | Apex Radiology Medical Group Inc | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 |
| Andrea R Dunkelman | General Surgery | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 | |
| Find all physicians in zip 92705 | |||
| City | SANTA ANA |
| Zip Code | 92705 |
| Specialty | HEMATOLOGY |
| City + Specialty | SANTA ANA + HEMATOLOGY |
Please comment or provide details below to improve the information on Stavroula A Otis.
| 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.