PAUL E OTTO


Address: 999 N 92nd St Ste C730, Wauwatosa, WI 53226-4875
Phone: 4142662786

PAUL E OTTO (NPI# 1053949909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053949909
Entity Type Individual
Full Name PAUL E OTTO
Credential MD
Practice Address 999 N 92nd St Ste C730
Wauwatosa
WI 53226-4875
Mailing Address Po Box 1997
Milwaukee
WI 53201-1997
Practice Telephone 4142662786
Mailing Telephone 4142662786
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers PAUL OTTO

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1407932718 Paul Stearns Otto Psychologist 205 W Clay St, Ukiah, CA 95482-5452 2006-10-29
1275547846 Paul Edwin Otto Dentist 233 Southbound Gratiot, Mount Clemens, MI 48043-2413 2006-07-28
1407850399 Paul W. Otto Pharmacist 444 Hospital Way, Ste 801, Pocatello, ID 83201-2792 2005-06-08
1437213659 Paul Delbert Otto Counselor 470 W. Cleveland, Saint Johns, AZ 85936-0579 2006-12-21

Office Location

Street Address 999 N 92ND ST STE C730
City WAUWATOSA
State WI
Zip Code 53226-4875

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
Find all providers in zip 53226

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1962030262 Alex Rosencutter Student in an Organized Health Care Education/Training Program 6505 W North Ave, Wauwatosa, WI 53213-2016 2020-03-31
1912430372 Theresa Margaret Lampe Piquette Student in an Organized Health Care Education/Training Program 6517 Milwaukee Ave, Wauwatosa, WI 53213-2407 2017-04-04
1225379571 Michael Garrett Payne Student in an Organized Health Care Education/Training Program 608 N 63rd St, Wauwatosa, WI 53213-4176 2013-03-12
1609193820 Leigh Ann Tatnall Student in an Organized Health Care Education/Training Program 7410 Blanchard St, Wauwatosa, WI 53213-2720 2010-04-27
1902985161 Robert Douglas Scott Student in an Organized Health Care Education/Training Program 4640 N Delco Ave, Wauwatosa, WI 53225-4425 2006-11-06
1992883862 Sean Patrick Cardinal Student in an Organized Health Care Education/Training Program 2233 N 67th St, Wauwatosa, WI 53213-2039 2006-11-01
1427668128 Zarina Markova Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 2020-08-06
1003435538 James Saxton Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 2020-04-14
1881213692 Michael Josephson Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 2020-04-11
Find all providers in WAUWATOSA

Competitor

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City WAUWATOSA
Zip Code 53226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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