ABBY HOLT OTTO (NPI# 1700043460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700043460 |
| Entity Type | Individual |
| Full Name | ABBY HOLT OTTO |
| Credential | M.D. |
| Practice Address |
11975 Morris Rd Suite 200 Alpharetta GA 30005-4419 |
| Mailing Address |
5780 Peachtree Dunwoody Road Suite 300 Atlanta GA 30342-1513 |
| Practice Telephone | 7707513600 |
| Practice Fax Number | 7707513615 |
| Mailing Telephone | 4043031224 |
| Mailing Fax Number | 4043031325 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 068087 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003124966B | 05 | |
| GA | 003124966A | 05 | |
| GA | 003124966C | 05 | |
| GA | 003124966D | 05 |
| Street Address |
11975 MORRIS RD SUITE 200 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605002 | Richard Charles Zane | Obstetrics & Gynecology | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2005-08-10 |
| 1295228138 | Heather Grace Draper | Physical Therapist | 11975 Morris Rd, Alpharetta, GA 30005-4419 | 2018-06-13 |
| 1356886394 | Aesthetics Hair Restoration LLC | Plastic Surgery | 11975 Morris Rd, Suite 220, Alpharetta, GA 30005-4419 | 2016-12-29 |
| 1154789915 | Toya G Claxton | Specialist/Technologist, Other | 11975 Morris Rd, Alpharetta, GA 30005-4419 | 2016-02-08 |
| 1760865752 | Amy Catherine Hannula | Registered Nurse | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2015-07-08 |
| 1669852331 | Aesthetics International Usa LLC | Oral & Maxillofacial Surgery | 11975 Morris Rd, Suite 220, Alpharetta, GA 30005-4419 | 2015-06-08 |
| 1346581121 | Elizabeth Leggett | Advanced Practice Midwife | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2013-03-04 |
| 1619281961 | Provenance Rehabilitation | Clinic/Center | 11975 Morris Rd, Suite 310, Alpharetta, GA 30005-4419 | 2010-07-28 |
| 1497927925 | Sovereign Rehabilitation of Georiga, LLC | Clinic/Center | 11975 Morris Rd, Suite 300, Alpharetta, GA 30005-4419 | 2008-03-25 |
| 1881871515 | Natalie Roberts Nix | Advanced Practice Midwife | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429986 | Sitra Mekonnen | Obstetrics & Gynecology | 11975 Morris Rd Ste 310, Alpharetta, GA 30005-4444 | 2015-06-09 |
| 1275776353 | Alexandre Kristian Eaccarino | Obstetrics & Gynecology | 11975 Morris Rd Ste 200, Alpharetta, GA 30005-4444 | 2009-04-20 |
| 1841462520 | Bernard Steven Greenberg | Obstetrics & Gynecology | 350 Lake Manor Trce, Alpharetta, GA 30022-5649 | 2008-04-02 |
| 1689871295 | Kiley Elizabeth Manetta | Obstetrics & Gynecology | 11975 Morris Road Suite 300, Alpharetta, GA 30005-3427 | 2007-06-27 |
| 1295829059 | Sowmya Reddy | Obstetrics & Gynecology | 2905 Jordan Ct Ste G, Alpharetta, GA 30004-8966 | 2006-10-03 |
| 1598858425 | Tressa Renee Scineaux | Obstetrics & Gynecology | 11330 Musette Cir, Alpharetta, GA 30009-2127 | 2006-10-02 |
| 1023124146 | Arista Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2006-08-22 |
| 1073544953 | Jennifer L Elliott | Obstetrics & Gynecology | 3180 N Point Pkwy Ste 205, Alpharetta, GA 30005-4381 | 2006-07-06 |
| 1982605002 | Richard Charles Zane | Obstetrics & Gynecology | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2005-08-10 |
| 1851914238 | Katherine Franklin | Obstetrics & Gynecology | 3400 Old Milton Pkwy, Alpharetta, GA 30005-3707 | 2020-05-20 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.