CAROL OTTE (NPI# 1285623124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285623124 |
| Entity Type | Individual |
| Full Name | CAROL OTTE |
| Credential | CRNP |
| Practice Address |
125 S 9th St Philadelphia PA 19107-5125 |
| Mailing Address |
260 S Broad St 18th Floor Philadelphia PA 19102-5021 |
| Practice Telephone | 2155924500 |
| Mailing Telephone | 2159852500 |
| Mailing Fax Number | 2157312049 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | TP000590A | PA | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
TP000590A | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 S 9TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508837 | Joseph Beeman | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2019-10-08 |
| 1245884097 | Ollie Walker | Social Worker | 125 S 9th St, Philadelphia, PA 19107-5125 | 2019-07-30 |
| 1811491400 | Jared Hassell | Family Medicine | 125 S 9th St, Philadelphia, PA 19107-5125 | 2018-03-20 |
| 1396288619 | Jamie Fitzgerald | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2016-11-19 |
| 1295195626 | Kate Moran | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2016-02-26 |
| 1588051205 | Susan Gichomo | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2015-04-21 |
| 1013311034 | Johanna Troy | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2014-10-20 |
| 1740683325 | Snir Heller | Orthopaedic Surgery | 125 S 9th St, Suite 1000, Philadelphia, PA 19107-5125 | 2014-09-26 |
| 1841690674 | Melissa Balczarek | Registered Nurse | 125 S 9th St, Philadelphia, PA 19107-5125 | 2014-08-29 |
| 1730593062 | Mary St Ledger | Nurse Practitioner | 125 S 9th St, Philadelphia, PA 19107-5125 | 2014-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
| 1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
| 1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
| 1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
| 1033551130 | Mollie Evelyn Wilson | Nurse Practitioner | 5820 W Girard Ave, Philadelphia, PA 19131-4850 | 2013-07-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on CAROL OTTE.
| 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.