DR. LARRY A. OTTEMAN (NPI# 1528059078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528059078 |
| Entity Type | Individual |
| Full Name | DR. LARRY A. OTTEMAN |
| Credential | MD |
| Practice Address |
1111 Duff Ave Ames IA 50010-3014 |
| Practice Telephone | 5152394401 |
| Practice Fax Number | 5152394791 |
| Mailing Telephone | 5152394401 |
| Mailing Fax Number | 5152394791 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24794 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0031609 | 05 |
| Street Address |
1111 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983695 | Patrick H. Allaire | Anesthesiology | 1111 Duff Ave, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2005-09-27 |
| 1952928236 | Kaitlyn Mary Baumgardner | Nurse Practitioner | 1111 Duff Ave, Ames, IA 50010-5745 | 2020-07-02 |
| 1033730916 | Julie Tarbill | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2020-05-01 |
| 1700423894 | Amanda Van Wyk | Nurse Practitioner | 1111 Duff Ave, Ames, IA 50010-5745 | 2019-12-08 |
| 1962970004 | Mcfarland Clinic, PC | Non-Pharmacy Dispensing Site | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-11-07 |
| 1912485558 | Teresa Heitland | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-08-06 |
| 1629556162 | Kelly Flater | Dietitian, Registered | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-08-06 |
| 1861990673 | Mary Greeley Medical Center | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-01-26 |
| 1770097826 | Jolene Christensen | Dietitian, Registered | 1111 Duff Ave, Ames, IA 50010-5745 | 2017-11-28 |
| 1558880336 | Mary Greeley Medical Center | Nurse Practitioner | 1111 Duff Ave, Ames, IA 50010-5745 | 2017-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376823567 | Sreenath Kodali | Internal Medicine | 1111 Duff Ave, Ames, IA 50010 | 2011-08-19 |
| 1104012996 | Venkatesh K. Rudrapatna | Internal Medicine | 1111 Duff Avenue, Ames, IA 50010-3014 | 2007-09-14 |
| 1992736771 | Debra Marie Prow | Internal Medicine | 1111 Duff Avenue, Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2006-07-06 |
| 1699765826 | Joseph James Merchant | Internal Medicine | 1111 Duff Ave, Ames, IA 50010-5793 | 2005-10-27 |
| 1639169675 | Bassim Kobrossy | Internal Medicine | 1111 Duff Ave, Ames, IA 50010-5793 | 2005-10-21 |
| 1982693289 | Mark Michael Guffy | Internal Medicine | 1111 Duff Ave, Ames, IA 50010-5793 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649649377 | Medical Oncology and Hematology Associatges Ptrshp | Internal Medicine | 12495 University Ave, Suite 200, Clive, IA 50325-8289 | 2015-09-23 |
| 1154646149 | Hussain M Naseri | Internal Medicine | 200 E Ridgeway Ave Ste 400, Waterloo, IA 50702 | 2010-04-01 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1801063243 | Chitra Devi Anangur Ganesan | Internal Medicine | 1000 4th Street, Sw, Mercy Medical Center, Mason City, IA 50401 | 2008-05-14 |
| 1811169972 | Stacey Marie Parker-brueggemann | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2008-03-28 |
| 1205908563 | Cancer Care of Iowa City LLC | Internal Medicine | 613 E Bloomington, Suite 100 Cancer Care of Iowa City, Iowa City, IA 52245 | 2006-11-14 |
| 1356352116 | Susannah Parker Friemel | Internal Medicine | 1750 E 53rd Street, Davenport, IA 52807 | 2006-08-10 |
| 1215980602 | Jasjeet Singh Sangha | Internal Medicine | 3530 West 4th Street, Waterloo, IA 50701-4503 | 2006-05-18 |
| 1033169768 | Christine Marie Holm | Internal Medicine | 150 Mercy Dr., Dubuque, IA 52001-7301 | 2006-05-11 |
| 1588628101 | Robert R Shreck | Internal Medicine | 1221 Pleasant Street, #100, Des Moines, IA 50309 | 2006-04-12 |
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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.