CANDACE OTTO (NPI# 1063732840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063732840 |
| Entity Type | Individual |
| Full Name | CANDACE OTTO |
| Credential | L.M.T. |
| Practice Address |
5301 Westbard Cir 225 Bethesda MD 20816-1401 |
| Practice Telephone | 3019070153 |
| Practice Fax Number | 3019070153 |
| Mailing Telephone | 3019070153 |
| Mailing Fax Number | 3019070153 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | M02618 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE (CAQH) | 12099942 | 01 |
| Street Address |
5301 WESTBARD CIR 225 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295995991 | Nadine Ziad Idriss | Pediatrics | 5301 Westbard Cir, Suite 3, Bethesda, MD 20816-1401 | 2008-06-16 |
| 1790020642 | Kenwood Pediatrics, LLC | Pediatrics | 5301 Westbard Cir, Suite 3, Bethesda, MD 20816-1401 | 2012-12-04 |
| 1720054331 | James J Leder Jr. | Dentist | 5301 Westbard Cir, Bethesda, MD 20816-1401 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902563 | Marcy Berger | Contractor | 8103 Thoreau Dr, Bethesda, MD 20817-3101 | 2013-11-01 |
| 1194165407 | Peter A Patriarca | Contractor | 7814 Exeter Rd, Bethesda, MD 20814-2423 | 2013-07-01 |
| 1194049544 | Pleasant Health Services Inc | Contractor | 4915 Auburn Ave, C/o Dr. Kaldun Nossuli, Suite 306, Bethesda, MD 20814-2636 | 2010-03-15 |
| 1063568236 | Daniel Brurion Rubinstein | Contractor | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2007-01-28 |
| 1861574998 | Paula Nicole Kodosky | Contractor | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631058 | Reeshemah R Robinson | Contractor | 18435 Bishopstone Ct, Montgomery Village, MD 20886-0579 | 2020-05-26 |
| 1689293490 | Easymd Solutions Inc. | Contractor | 7849 Americana Cir, Glen Burnie, MD 21060-7811 | 2020-04-11 |
| 1710513320 | Exquisite Med LLC | Contractor | 411 Warfield Dr Apt 4019, Landover, MD 20785-5531 | 2020-03-14 |
| 1659928166 | Cindy Ferrier | Contractor | 15200 Dunleigh Dr, Bowie, MD 20721-3252 | 2019-08-20 |
| 1174184766 | Augustine B Nwabueze | Contractor | 5454 Harpers Farm Rd Apt B3, Columbia, MD 21044-1396 | 2019-06-24 |
| 1184187973 | Godfrey Thomas | Contractor | 4508 Crandall Ct, Lanham, MD 20706-1977 | 2019-04-09 |
| 1194205146 | Akshar Health Care Solutions LLC | Contractor | 5707 Calverton St Ste 2f, Catonsville, MD 21228-1772 | 2018-08-20 |
| 1164919718 | Lynn Michelle Gondeck | Contractor | 385 Tanyerhyde Dr, Westminster, MD 21157-6519 | 2018-04-19 |
| 1558867028 | Deborah Hammett | Contractor | 15502 Emily Ct, Accokeek, MD 20607-2041 | 2018-04-03 |
| 1356860472 | Helena Newman | Contractor | 2001 Downshire Ct, Waldorf, MD 20603-3886 | 2017-09-11 |
| Find all providers with the same taxonomy | ||||
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| 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.