BETH ANN OMUNDSEN-OTT


Address: 1330 Amherst St Ste C, Winchester, VA 22601-3000
Phone: 5407222369

BETH ANN OMUNDSEN-OTT (NPI# 1356311161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356311161
Entity Type Individual
Full Name BETH ANN OMUNDSEN-OTT
Credential M.D.
Practice Address 1330 Amherst St Ste C
Winchester
VA 22601-3000
Practice Telephone 5407222369
Practice Fax Number 5407226601
Mailing Telephone 5407222369
Mailing Fax Number 5407226601
Enumeration Date 2006-01-24
Last Update Date 2020-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
0101044204 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 005627915 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3050 Valley Ave., Suite 100-102, Winchester, VA 226012668 5407234994 5407239699

Office Location

Street Address 1330 AMHERST ST STE C
City WINCHESTER
State VA
Zip Code 22601-3000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184288961 Michael Frederick Ellis Social Worker 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 2019-04-26
1437713542 Ann Marie Aldrich Nurse Practitioner 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 2019-04-24
1023570678 Ultimate Hearing Solutions Vi, LLC Durable Medical Equipment & Medical Supplies 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 2019-04-03
1992203574 Deborah K. Inaba Clinical Exercise Physiologist 1410 S Braddock St, Winchester, VA 22601 2018-01-29
1043728272 Emily Anne Griffin Registered Nurse 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 2018-01-23
1114431467 Alicia Moreno Billy Social Worker 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 2017-11-24
1558800391 Heather Leach Counselor 116 Piccadilly Street, Suite 12, Winchester, VA 22601 2017-02-13
1649718396 Hunt Country Health Services Home Health 31 S Braddock St Ste 106, Winchester, VA 22601 2017-02-02
1568830958 Megan Mcintyre Physical Therapist 3052 Valley Ave Ste 101, Winchester, VA 22601 2015-09-02
1093195299 Sara Elizabeth Archetti Speech-Language Pathologist Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 2015-06-02
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356311674 Don G Karolyi Family Medicine 1867 Amherst Family Practice, Winchester, VA 22601 2006-01-26
1245765544 Dr Terry Sinclair Health Clinic Inc Family Medicine 301 N Cameron St, Suite 100, Winchester, VA 22601 2017-04-24
1376858498 Ruma Dahal Family Medicine 190 Campus Blvd Ste 200, Winchester, VA 22601-2872 2010-08-12
1518937317 Laura G. Gillis Family Medicine 1867 Amherst St, Winchester, VA 22601-2801 2006-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619583283 Michelle Lynn Pope Family Medicine 731 Seaton Ave Unit 120, Alexandria, VA 22305-3052 2020-09-19
1821604885 Lindsay J Callahan Family Medicine 13900 Buck Rub Dr, Midlothian, VA 23112-6111 2020-09-16
1376199273 Senle Care Family Medicine 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 2019-08-15
1861860231 Ram Singh Family Medicine 5637 Powell Valley Rd, Big Stone Gap, VA 24219-4127 2015-09-02
1306257803 Michelle A Clements Family Medicine 5415 Airport Rd, Roanoke, VA 24012-1303 2014-05-19
1538472824 Monroe Glass Baldwin II Family Medicine 2058 Garfield Ave, Lynchburg, VA 24501-6417 2010-07-15
1750618674 Rafael Angel Roure Family Medicine 1304 Glen Burnie Ct, Virginia Beach, VA 23454-6580 2009-11-13
1164676409 Nasrin Ejtemaee Md PC Family Medicine 8375a Greensboro Dr, Mc Lean, VA 22102-3529 2008-11-13
1841459922 Yeneisha Greene Family Medicine 4201 Wilson Boulevard, Arlington, VA 22230 2008-06-04
1801096458 Richard Detwiler Alderfer Family Medicine 137 Nottingham Ln, Waynesboro, VA 22980-6544 2007-07-23
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Competitor

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City WINCHESTER
Zip Code 22601

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Dataset Information

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.

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