PETERS T. OTLANS (NPI# 1740600840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740600840 |
| Entity Type | Individual |
| Full Name | PETERS T. OTLANS |
| Credential | MD |
| Practice Address |
16259 Sylvester Rd Sw Ste 501 Burien WA 98166-3059 |
| Practice Telephone | 2062431100 |
| Practice Fax Number | 2064310835 |
| Mailing Telephone | 2062431100 |
| Mailing Fax Number | 2064310835 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD61055362 | WA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD61055362 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038244 | 05 |
| Street Address |
16259 SYLVESTER RD SW STE 501 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063989 | Cyrus Ghavam | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166-3059 | 2006-05-22 |
| 1841293511 | William L Clark | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Ste 501, Burien, WA 98166-3059 | 2005-05-24 |
| 1467743682 | Justin Ledesma | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166 | 2011-04-21 |
| 1639332539 | William Barrett Payne | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166-3049 | 2008-07-10 |
| 1427237361 | Alan D. Barronian, M.d., Inc., P.s. | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Ste 501, Burien, WA 98166-3049 | 2007-10-28 |
| 1336328277 | William L. Clark, M.d., P.s. | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Ste 501, Burien, WA 98166-3049 | 2007-10-28 |
| 1154500098 | Jal, M.d., Inc., P.s. | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Ste 501, Burien, WA 98166-3049 | 2007-10-28 |
| 1073715546 | Omar Abdul-hadi | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166 | 2007-06-05 |
| 1629283148 | Brian David Jones | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Suite 501, Burien, WA 98166-3049 | 2007-05-10 |
| 1427096411 | Colm O'riordan | Orthopaedic Surgery | 16233 Sylvester Rd Sw, Suite G20, Burien, WA 98166-3045 | 2006-06-03 |
| Find all providers in BURIEN | ||||
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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.