ALICIA OTTMANN (NPI# 1215309919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215309919 |
Entity Type | Individual |
Full Name | ALICIA OTTMANN |
Credential | PA-C |
Practice Address |
9201 N 5th St Phoenix AZ 85020-2532 |
Practice Telephone | 7023433692 |
Mailing Telephone | 7023433692 |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6207 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9201 N 5TH ST |
City | PHOENIX |
State | AZ |
Zip Code | 85020-2532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538250535 | Desert Mission Inc | Clinic/Center | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2006-09-27 |
1811517816 | Aline Catherine Kraus | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-04-20 |
1770103848 | Ramy El Mankabady | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-04-19 |
1508491119 | Nicole Vaudrin | Dietitian, Registered | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2020-03-04 |
1942854393 | Nicole Zahri | Counselor | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-07-24 |
1225692676 | Pedram Motamedi | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-04-30 |
1588125397 | Nathan Mcclane | Student in an Organized Health Care Education/Training Program | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2019-03-26 |
1033644810 | Adriana Guadalupe Cardona | Social Worker | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2017-04-28 |
1467823435 | Nannie Jackson | Counselor | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2015-10-15 |
1326417684 | Veronica Terez Hurd | Nurse Practitioner | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2015-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
Find all providers in zip 85020 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
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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.