SUSAN E. OTERO (NPI# 1205997244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997244 |
| Entity Type | Individual |
| Full Name | SUSAN E. OTERO |
| Other Name | SUSAN EARLY OTERO |
| Credential | MD |
| Practice Address |
106 Irving St Nw Pob 420 South Washington DC 20010-2927 |
| Mailing Address |
Po Box 418498 Boston MA 02241-8498 |
| Practice Telephone | 2028773300 |
| Practice Fax Number | 2028773303 |
| Mailing Telephone | 7035581544 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD14270 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 25544400 | 05 | |
| MD | 528271300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288025 | Susan Marie Otero | Nurse Practitioner | 1719 Avant St, Valrico, FL 33594-4779 | 2019-11-06 |
| 1831222652 | Susan Evette Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2007-03-13 |
| Street Address |
106 IRVING ST NW POB 420 SOUTH |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730521 | Anna Park | Ophthalmology | 106 Irving St Nw, Ste 321, Washington, DC 20010-2993 | 2005-06-14 |
| 1275177909 | Rabi Lee | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-11-06 |
| 1689215527 | Elshaday Teferi | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-10-02 |
| 1770145708 | Morgan Malpass | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-06-29 |
| 1285100909 | Bianca Cutler | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-10-20 |
| 1588164396 | Blen T Sime | Physician Assistant | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-02-19 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1811410822 | Michael Setzer | Genetic Counselor, MS | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-07-21 |
| 1265974703 | Andrea Frances Goergen | Dietitian, Registered | 106 Irving St Nw, Suite 301, Washington, DC 20010-2927 | 2016-11-15 |
| 1497205769 | Andrea Onufrychuk | Nurse Practitioner | 106 Irving St Nw, Suite 2300, Washington, DC 20010-2927 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023672987 | Pearl Ann Theresa Brown | Plastic Surgery | 21 7th St Se, Washington, DC 20003-1221 | 2019-04-26 |
| 1053610832 | Laura Kate Tom | Plastic Surgery | 106 Irving St Nw Ste 3400, Washington, DC 20010 | 2011-03-20 |
| 1760705594 | Craig Davis | Plastic Surgery | 3163 N Grasslands Pkwy, Washington, UT 84780-2097 | 2010-03-08 |
| 1487801627 | Grant Michael Kleiber | Plastic Surgery | 3800 Reservoir Rd Nw # Phc1, Washington, DC 20007-2113 | 2008-08-19 |
| 1265616007 | Kelly Michelle Bolden | Plastic Surgery | 5301 Wisconsin Ave Nw Ste 100, Washington, DC 20015-2070 | 2007-12-27 |
| 1609908334 | Anita R Kulkarni | Plastic Surgery | 2440 M St Nw Ste 318, Washington, DC 20037 | 2007-03-09 |
| 1194750224 | Mary Ella M Carter | Plastic Surgery | Veterans Affairs Hospital 50 Irving Street, Plastic Surgery, Washington, DC 20422-0001 | 2006-07-11 |
| 1386640118 | Henry Paul Jr. | Plastic Surgery | 2041 Georgia Avenue Nw Dept of Surgery, Washington, DC 20060-3322 | 2005-06-27 |
| 1265435804 | Teresa Marie Buescher | Plastic Surgery | 2300 M St Nw, 6th Floor, Washington, DC 20037-1434 | 2005-05-27 |
| 1265082564 | Catherine M Hannan, Md, Pllc | Plastic Surgery | 2440 M St Nw Ste 200, Washington, DC 20037-1449 | 2019-09-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.