DR. HENRY OTTENS (NPI# 1962693416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962693416 |
| Entity Type | Individual |
| Full Name | DR. HENRY OTTENS |
| Credential | M.D. |
| Practice Address |
1310 Wisconsin Ave Grand Haven MI 49417-2472 |
| Practice Telephone | 6168465080 |
| Practice Fax Number | 6168469271 |
| Mailing Telephone | 6168465080 |
| Mailing Fax Number | 6168469271 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 4301028652 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1310 WISCONSIN AVE |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121270 | Larry A Poel | Family Medicine | 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417-2472 | 2005-06-01 |
| 1770931719 | Rachel Mcdermott | Nurse Practitioner | 1310 Wisconsin Ave, Ste. 100, Grand Haven, MI 49417-2472 | 2016-06-01 |
| 1003249442 | Elizabeth Lynne Cross | Nurse Practitioner | 1310 Wisconsin Ave, Suite 100, Grand Haven, MI 49417-2472 | 2013-08-20 |
| 1063653335 | Donna Zambetis | Nurse Practitioner | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2009-03-17 |
| 1962653725 | Christine Mary Ryan | Family Medicine | 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417-2472 | 2008-10-09 |
| 1538321955 | Mehul B Patel | Internal Medicine | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2008-06-26 |
| 1023284304 | Robert W Dixon Jr Md PC | Family Medicine | 1310 Wisconsin Ave, Suite 200, Grand Haven, MI 49417-2472 | 2008-05-06 |
| 1568588432 | Kyle Vernon Kramer | Family Medicine | 1310 Wisconsin Ave, Suite 103, Grand Haven, MI 49417-2472 | 2007-03-22 |
| 1679653810 | Ottagan Addictions Recovery, Inc. | Public Health or Welfare | 1310 Wisconsin Ave, Suite 303, Grand Haven, MI 49417-2472 | 2006-10-16 |
| 1427148345 | Norman R. Boeve, M.d.,p.c. | Orthopaedic Surgery | 1310 Wisconsin Ave, Grand Haven, MI 49417-2472 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073981130 | Todd Helle | Independent Medical Examiner | 727 Innes St Ne, Grand Rapids, MI 49503-3515 | 2015-09-07 |
| 1851711758 | Jai Prasad | Independent Medical Examiner | 21008 Wheaton Ln, Novi, MI 48375-4753 | 2014-04-18 |
| 1285936450 | John A. Sebright | Independent Medical Examiner | 245 Cherry Street Se, Suite 302, Grand Rapids, MI 49503-4607 | 2010-11-22 |
| 1295902591 | Elaine Constance Kountanis | Independent Medical Examiner | 5395 Green Pine Ln, Kalamazoo, MI 49009-4576 | 2008-05-15 |
| 1689877367 | Associates In Obstetrics Gynecology & Infertility, PC | Independent Medical Examiner | 545 Michigan St Ne Suite 300, Grand Rapids, MI 49503-5720 | 2007-06-08 |
| 1457913105 | Brianne Kuns | Independent Medical Examiner | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2019-07-02 |
| 1700306537 | Anirudha Swaminathan Rathnam | Independent Medical Examiner | 2799 W. Grand Blvd., Henry Ford Hospital, Medical Education Dept., Detroit, MI 48202-2608 | 2017-06-22 |
| 1154643112 | Med Source Services Inc | Independent Medical Examiner | 24901 Northwestern Hwy, Suite 205, Southfield, MI 48075-2203 | 2010-02-18 |
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on DR. HENRY OTTENS.
| 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.