Todd Lane Otte (NPI# 1417916040, PAC ID# 9537120167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1417916040 |
| PAC ID by PECOS | 9537120167 |
| Professional Enrollment ID | I20041026000710 |
| Full Name | Todd Lane Otte |
| Organization Legal Name | JAMES F. PIONTEK INC. |
| Address |
2525 Glenn Hendren Dr Suite 102 Liberty MO 64068-9625 |
| Phone Number | 8164072028 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1989 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2365425865 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260177 | LIBERTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2525 Glenn Hendren Dr, Suite 102, Liberty, MO 64068-9625 | 8164072028 | JAMES F. PIONTEK INC. |
| 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 8164072028 | JAMES F. PIONTEK INC. |
| Organization Legal Name | JAMES F. PIONTEK INC. |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Weisgerber | Certified Registered Nurse Anesthetist (crna) | James F. Piontek Inc. | 2529 Glenn Hendren Dr, Suite 100, Liberty, MO 64068-9602 |
| Charles D Markowitz | Anesthesiology | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Jennifer P Nguyen | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Jamie Nafzinger | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Melanie J Guthrie | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Mary J Roberts | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Trent A Platz | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Thomas M Porter | Anesthesiology | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Robert N Fisher | Certified Registered Nurse Anesthetist (crna) | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Michael A Roth | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glen Hendren Dr, Liberty, MO 64068-9625 |
| Street Address |
2525 GLENN HENDREN DR SUITE 102 |
| City | LIBERTY |
| State | MO |
| Zip | 64068-9625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Apodaca | Hospitalist | Gates Hospitalists LLC | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 |
| Abdurrahman Bouzid | Hospitalist | Gates Hospitalists LLC | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 |
| Swetha Tanguturi | Hospitalist | Gates Hospitalists LLC | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 |
| Janet J Lyngstad | Certified Registered Nurse Anesthetist | James F. Piontek Inc. | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 |
| Dan T Hladky | Anesthesiology Assistant | James F. Piontek Inc. | 2525 Glenn Hendren Dr, Suite 102, Liberty, MO 64068-9625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah Page | Occupational Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
| Scott Joseph Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Maria Gabriela Miller | Physical Therapy | Arc Physical Therapy Plus Lp | 527 N State Route 291 A, Liberty, MO 64068-1045 |
| Brett J Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Dustin S Mcknight | Ophthalmology | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Anthony T Brand | Optometry | Mcknight Eye Centers, PC | 515 N State Route 291, Liberty, MO 64068-1045 |
| Kathryn A Hembree | Ophthalmology | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Christine L Mitts | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Andrea R Keele | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Janet M Boschert | Optometry | Northland Eye Specialists PC | 1200 Landmark Ave, Liberty, MO 64068-1051 |
| Find all physicians in zip 64068 | |||
| City | LIBERTY |
| Zip Code | 64068 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | LIBERTY + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.