ANDREW T OTTO (NPI# 1093726648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093726648 |
| Entity Type | Individual |
| Full Name | ANDREW T OTTO |
| Credential | PA-C |
| Practice Address |
200 Patewood Dr Ste C100 Greenville SC 29615-6322 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644547422 |
| Mailing Telephone | 8647976328 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
843 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0313PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982167748 | Andrew Joseph Otto | Physical Therapy Assistant | 8849 Charington Ct, Pickerington, OH 43147-9549 | 2019-04-09 |
| 1578862157 | Andrew Otto | Emergency Medicine | 1990 N California Blvd, Suite #400, Walnut Creek, CA 94596-3742 | 2011-03-21 |
| 1235312307 | Andrew Paul Otto | Dietitian, Registered | 5005 N Piedras St, Wbamc, El Paso, TX 79920-5001 | 2007-12-12 |
| Street Address |
200 PATEWOOD DR STE C100 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679537047 | Richard G Braun | Podiatrist | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2006-04-13 |
| 1164988218 | Mary Hellen Baird Lezan | Nurse Practitioner | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2019-02-13 |
| 1740767219 | Robert Longstaffe | Orthopaedic Surgery | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2018-07-26 |
| 1255889531 | Thomas E Martin | Physician Assistant | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2016-09-15 |
| 1558748574 | Lucas Teske | Student in an Organized Health Care Education/Training Program | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2015-04-28 |
| 1710378104 | Jill Nicole Biediger | Physician Assistant | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2015-02-06 |
| 1972916948 | Marianne Pavlot | Specialist/Technologist | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2014-06-08 |
| 1588925119 | Nicholas Miladore | Orthopaedic Surgery | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2012-05-30 |
| 1922392992 | Stephen Hughes Finley | Orthopaedic Surgery | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2011-06-07 |
| 1821320425 | James Ian Cameron | Orthopaedic Surgery | 200 Patewood Dr Ste C100, Greenville, SC 29615-6322 | 2010-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
| 1043215411 | Gretchen Blair Journigan | Physician Assistant | 2245 Stantonsburg Rd, Suite H, Greenville, NC 27834-2868 | 2005-06-14 |
| 1558971820 | Meghan Elizabeth Mcdonough | Physician Assistant | 890 W Faris Rd Ste 310, Greenville, SC 29605-4281 | 2020-08-03 |
| 1538675756 | Amanda Marie Looper | Physician Assistant | 111 Doctors Dr, Greenville, SC 29605-5622 | 2017-12-26 |
| 1306374400 | Kevin R Knapp | Physician Assistant | 200 Patewood Dr Ste A115, Greenville, SC 29615-3547 | 2017-06-01 |
| 1730628629 | Elizabeth Mclawhorn | Physician Assistant | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2017-02-13 |
| 1174067771 | Caitlin Sippey | Physician Assistant | 2325 Stantonsburg Rd, Greenville, NC 27834-7534 | 2016-12-15 |
| 1093110140 | Danielle Elise Low | Physician Assistant | 11 Park Creek Dr, Greenville, SC 29605-4270 | 2014-10-31 |
| 1689009722 | Kimberly Yost Miller | Physician Assistant | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2013-09-09 |
| 1427300847 | Melissa Ruth Grinnell | Physician Assistant | 890 W Faris Rd, Suite 310, Greenville, SC 29605-4253 | 2012-10-09 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on ANDREW T OTTO.
| 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.