MS. ELIZABETH ANN OTTER (NPI# 1639108293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108293 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANN OTTER |
| Other Name | ELIZABETH ANN MILROY |
| Credential | PA-C |
| Practice Address |
1725 Medical Center Pkwy Suite 300 Murfreesboro TN 37129-2247 |
| Practice Telephone | 6158934100 |
| Practice Fax Number | 6158932166 |
| Mailing Telephone | 6158934100 |
| Mailing Fax Number | 6158932166 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0000001490 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1725 MEDICAL CENTER PKWY SUITE 300 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881118313 | Rachel Hale | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2017-07-26 |
| 1578099123 | Emma Pierce | Nurse Practitioner | 1725 Medical Center Pkwy, Suite # 300, Murfreesboro, TN 37129-2247 | 2017-05-02 |
| 1821532078 | Klhee Bang | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 220, Murfreesboro, TN 37129-2247 | 2016-12-07 |
| 1457708950 | Amanda Wells | Physical Therapist | 1725 Medical Center Pkwy, Suite 130, Murfreesboro, TN 37129-2247 | 2016-05-16 |
| 1982075297 | Joshua Courtney | Physician Assistant | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-10-13 |
| 1144611260 | Lindsay White | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-02-11 |
| 1508272105 | Wendy Rhim | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2014-07-03 |
| 1639421225 | Erin Danielle Thayer | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 110, Murfreesboro, TN 37129-2247 | 2012-10-08 |
| 1902122096 | Christina Feser | Dermatology | 1725 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2247 | 2010-04-14 |
| 1568796845 | Williams Surgery Center, Inc. | Clinic/Center | 1725 Medical Center Pkwy, Suite 120, Murfreesboro, TN 37129-2247 | 2009-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508310012 | Whitley Medical Service Inc | Physician Assistant | 143 Veterans Pkwy, Murfreesboro, TN 37128-6434 | 2016-08-12 |
| 1356473565 | Ambre E Maze | Physician Assistant | 1574 Medical Center Pkwy Ste 104, Murfreesboro, TN 37129-3761 | 2007-03-12 |
| 1205920808 | Gary Clifford Johnson | Physician Assistant | Va Tennessee Valley Hcs Alvin C York Campus, 3400 Lebanon Pike, Murfreesboro, TN 37129-1236 | 2006-10-03 |
| 1134137169 | Michael Dawson Maddox | Physician Assistant | 951 New Salem Hwy, Murfreesboro, TN 37129 | 2006-08-04 |
| 1366460354 | Melanie S Vanmullen | Physician Assistant | 3400 Lebanon Pike, Murfreesboro, TN 37129-6335 | 2006-07-17 |
| 1669422952 | Stephan Peyton Newman | Physician Assistant | 10036 Roanoke Dr, Murfreesboro, TN 37129-7822 | 2006-05-10 |
| 1174505374 | Kristen Colby | Physician Assistant | 2445 Memorial Blvd, Ste C, Murfreesboro, TN 37129-5155 | 2005-11-15 |
| 1215938923 | Frank Douglas Warren | Physician Assistant | 1015 N. Highland, Murfreesboro, TN 37130 | 2005-08-03 |
| 1437509247 | Cassidy Roland Turner | Physician Assistant | 745 S Church St Ste 303, Murfreesboro, TN 37130-4963 | 2016-06-13 |
| 1982075297 | Joshua Courtney | Physician Assistant | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-10-13 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on MS. ELIZABETH ANN OTTER.
| 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.