RUSSELL MARK OTTLEY (NPI# 1578564225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578564225 |
| Entity Type | Individual |
| Full Name | RUSSELL MARK OTTLEY |
| Credential | M.D. |
| Practice Address |
6701 N Charles St Towson MD 21204-6808 |
| Mailing Address |
230 Schilling Circle #170 Att: Mary Ellen Cuthie Hunt Valley MD 21031-1417 |
| Practice Telephone | 4102964616 |
| Practice Fax Number | 4103375068 |
| Mailing Telephone | 4102964616 |
| Mailing Fax Number | 4103375068 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | D0035962 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 210071100 | 05 | |
| MD | STATE LICENSE NUMBER | D0035962 | 01 |
| Street Address |
6701 N CHARLES ST |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503139 | Javariya Nisar | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-09-22 |
| 1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
| 1013544519 | Aloise Diedrich | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-25 |
| 1144857509 | Eric Mbugua Thuo | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-25 |
| 1194352773 | Vignesh Kartik Harish | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-24 |
| 1184251779 | Ayesha Khan | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1538796123 | Fatima Abdullahi Halilu | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
| 1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
| 1972150019 | Kimberly Welch Blay | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275920571 | Virginia Eileen Murphy | Anesthesiology | 1306c Denby Rd, Towson, MD 21286-1627 | 2015-04-24 |
| 1295006054 | Mcelfresh Anesthesia LLC | Anesthesiology | 1018 Hart Rd, Towson, MD 21286-1629 | 2012-01-25 |
| 1962715151 | Sara Sateri | Anesthesiology | 6565 N Charles Ppe 203, Towson, MD 21204 | 2010-07-16 |
| 1770566291 | Amar Setty | Anesthesiology | 6701 N Charles St # 4226, Towson, MD 21204-6808 | 2005-11-29 |
| 1467434027 | Thomas Pannone | Anesthesiology | 901 Dulaney Valley Rd Ste 220, Towson, MD 21204-0621 | 2005-11-18 |
| 1336141274 | You Neng Wu | Anesthesiology | 7601 Osler Drive, St. Joseph's Medical Center, Towson, MD 21201 | 2005-08-11 |
| 1477554269 | Maria G Ascoli | Anesthesiology | 7620 York Rd, Towson, MD 21204-7508 | 2005-08-03 |
| 1093246464 | Samar Prakash Shah | Anesthesiology | 6565 N Charles St, Ppe 203, Towson, MD 21204 | 2017-03-27 |
| 1366818411 | Maryland Endoscopy Anesthesia LLC | Anesthesiology | 100 West Rd, Suite 115, Towson, MD 21204-2331 | 2015-08-12 |
| 1760825483 | Robert Hoffman Thorwarth | Anesthesiology | 6701 N Charles St, Towson, MD 21204-6808 | 2013-04-11 |
| Find all providers in TOWSON | ||||
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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.