Richard Sj Otto (NPI# 1487913513, PAC ID# 4981998788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1487913513 |
| PAC ID by PECOS | 4981998788 |
| Professional Enrollment ID | I20180705001264 |
| Full Name | Richard Sj Otto |
| Organization Legal Name | TIFT REGIONAL MEDICAL CENTER |
| Address |
901 E 18th St Tifton GA 31794-3648 |
| Phone Number | 2293827120 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5193619971 |
| Number of Group Practice Members | 224 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110064 | MIDTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 901 E 18th St, Tifton, GA 31794-3648 | 2293827120 | TIFT REGIONAL MEDICAL CENTER |
| Organization Legal Name | TIFT REGIONAL MEDICAL CENTER |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Lilje | Emergency Medicine | Tift Regional Medical Center | 1622 Madison Ave, Tifton, GA 31794-3756 |
| Justin Myles Stark | Internal Medicine | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Enrique Galliano | Emergency Medicine | Tift Regional Medical Center | 901 18th St E, Tifton, GA 31794-3648 |
| Latoya E Westbrook | Nurse Practitioner | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Christopher Wesley Mangieri | General Surgery | Tift Regional Medical Center | 901 18th St E, Tifton, GA 31794-3648 |
| Kathryn E Thompson | Nurse Practitioner | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Andrea I Choate | Anesthesiology | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Gerard R. Schroeder | Anesthesiology | Tift Regional Medical Center | 901 E 18th St, Tifton, GA 31794-3648 |
| Nora A Fine | Anesthesiology | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Casey Moran | Physical Therapy | Tift Regional Medical Center | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Street Address |
901 E 18TH ST |
| City | TIFTON |
| State | GA |
| Zip | 31794-3648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Dorough | Anesthesiology Assistant | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Olushesan M Ogundipe | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Eric Adjei Afari | Hospitalist | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Keisha C Stevens | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Erinn Renee Harris | Internal Medicine | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Jessica W Beier | Pathology | 901 E 18th St, Tifton, GA 31794-3648 | |
| Zackary J Whitaker | Certified Registered Nurse Anesthetist (crna) | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Daniel Eli Penn | Gastroenterology | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| James Macdonald | Pathology | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31793-3648 |
| Glenn M Mcalpin | General Surgery | Tift Regional Health System, Inc. | 901 E 18th St, Tifton, GA 31794-3648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | UROLOGY |
| City + Specialty | TIFTON + UROLOGY |
Please comment or provide details below to improve the information on Richard Sj Otto.
| 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.