MS. PEGGY A OTTEY (NPI# 1336322544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336322544 |
| Entity Type | Individual |
| Full Name | MS. PEGGY A OTTEY |
| Credential | CRNP |
| Practice Address |
Ideal Option 47 Virginia Avenue Cumberland MD 21502 |
| Mailing Address |
47 Virginia Ave Cumberland MD 21502-3964 |
| Practice Telephone | 3012685903 |
| Practice Fax Number | 5094913031 |
| Mailing Telephone | 3012685903 |
| Mailing Fax Number | 5094913031 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R149658 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 028465300 | 05 |
| Street Address |
IDEAL OPTION 47 VIRGINIA AVENUE |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902449127 | Katie Ritchey | Nurse Practitioner | 12502 Willowbrook Rd Ste 680, Cumberland, MD 21502-6491 | 2019-10-21 |
| 1144224601 | Anna J Hammond | Nurse Practitioner | 12505 Willowbrook Rd., Cumberland, MD 21502 | 2005-06-11 |
| 1003417163 | Lala Ann Miner | Nurse Practitioner | 730 Furnace St, Cumberland, MD 21502-1564 | 2020-11-05 |
| 1063949378 | Deborah Ann Hallingstad | Nurse Practitioner | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-05-17 |
| 1457891483 | Renata Wos | Nurse Practitioner | 525 Broad St, Cumberland, RI 02864 | 2017-02-23 |
| 1831485572 | Cynthia Jean Shriver | Nurse Practitioner | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2011-06-21 |
| 1588717367 | Mary Tola | Nurse Practitioner | 12502 Willowbrook Rd, Suite 300, Cumberland, MD 21502-6491 | 2007-01-18 |
| 1093769127 | Thomas A Bostaph | Nurse Practitioner | 1602 Ford Ave, Cumberland, MD 21502-4612 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841236 | Golden Oasis Healthcare Services LLC | Nurse Practitioner | 333 Old Line Ave, Laurel, MD 20724-2407 | 2020-11-05 |
| 1225636558 | Agnprx LLC | Nurse Practitioner | 5543 Bonnie Brook Rd, Cambridge, MD 21613-3437 | 2020-10-09 |
| 1417563891 | Barbara Katarzyna Wawryszyn | Nurse Practitioner | 12 Brook Farm Ct Unit E, Perry Hall, MD 21128-9042 | 2020-09-21 |
| 1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
| 1881202570 | Jisha S Varghese | Nurse Practitioner | 3257 Ramblewood Rd, Ellicott City, MD 21042-2445 | 2020-07-19 |
| 1710505524 | Jillian E Haney | Nurse Practitioner | 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | 2020-07-08 |
| 1164040200 | Srkite Associates | Nurse Practitioner | 8 Sudbrook Ln Ste 1a, Pikesville, MD 21208-4132 | 2020-07-06 |
| 1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
| 1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
| 1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on MS. PEGGY A OTTEY.
| 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.