DR. PAUL D. OTT (NPI# 1558476952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558476952 |
| Entity Type | Individual |
| Full Name | DR. PAUL D. OTT |
| Credential | D.O. |
| Practice Address |
101 S Moore Ave Claremore OK 74017-5047 |
| Mailing Address |
2504 W Driftwood Dr Claremore OK 74017-4822 |
| Practice Telephone | 9183426200 |
| Practice Fax Number | 9183426598 |
| Mailing Telephone | 9182838045 |
| Mailing Fax Number | 9182832448 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
1958 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440702 | Paul Ott | Student in an Organized Health Care Education/Training Program | 425 W 5th St, East Liverpool, OH 43920-2405 | 2018-06-11 |
| Street Address |
101 S MOORE AVE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478251 | Jeneva Sue Arnold I | Pharmacist | 101 S Moore Ave, Claremore, OK 74017-5047 | 2005-06-28 |
| 1063021483 | Jenilee Skidmore | Advanced Practice Midwife | 101 S Moore Ave, Claremore, OK 74017-5047 | 2020-07-31 |
| 1598382582 | Ashley Nicole Patterson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2020-06-25 |
| 1588200190 | Andrea K Rake | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1396381901 | Megan Campbell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-11-19 |
| 1750922704 | Laura Anne Blackwood | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-10-01 |
| 1801437868 | Victoria Lynn Sanders | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-10-01 |
| 1720629884 | Timothy Dewayne Cordell | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-30 |
| 1417508003 | Jonathan Edward Martin | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-25 |
| 1700437449 | Micah Taylor | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
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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.