Indra Oetomo (NPI# 1326005745, PAC ID# 8224928460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1326005745 |
| PAC ID by PECOS | 8224928460 |
| Professional Enrollment ID | I20040614000456 |
| Full Name | Indra Oetomo |
| Address |
8955 S Ridgeline Blvd Suite 400 Highlands Ranch CO 80129-2355 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8955 S Ridgeline Blvd, Suite 400, Highlands Ranch, CO 80129-2355 |
| Street Address |
8955 S RIDGELINE BLVD SUITE 400 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip | 80129-2355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Mclean | Physical Therapy | 9150 Commerce Ctr Cir, Suite 200, Highlands Ranch, CO 80129-1562 | |
| Craig L Lewis | Chiropractic | 201 W County Line Rd, Littleton, CO 80129-1901 | |
| Sang T Pham | Chiropractic | 201 W County Line Rd, Revolve Spine LLC, Littleton, CO 80129-1901 | |
| David A Burrows | Internal Medicine | Onpoint Medical Group LLC | 1805 Shea Ctr Dr, Suite 301, Highlands Ranch, CO 80129-2251 |
| Robert D Good | Optometry | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Deja S Vandeloo | Family Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Michael J Citrin | Family Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Dawn H Newell | Internal Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Mary E Guese | Internal Medicine | Colorado Permanente Medical Group PC | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Melanie Bonin | Family Practice | Colorado Permanente Medical Group, P.C. | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 |
| Find all physicians in zip 80129 | |||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HIGHLANDS RANCH + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Indra Oetomo.
| 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.