KELLY KAY OTT (NPI# 1992072441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992072441 |
| Entity Type | Individual |
| Full Name | KELLY KAY OTT |
| Credential | P.A. |
| Practice Address |
3860 W Ogden Ave Chicago IL 60623-2460 |
| Practice Telephone | 8725883000 |
| Practice Fax Number | 8725883021 |
| Mailing Telephone | 8725883000 |
| Mailing Fax Number | 8725883021 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-004230 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831404391 | Kelly L Ott | Speech-Language Pathologist | 12466 Highway 24, Madison, MO 65263-2150 | 2010-08-09 |
| 1659993251 | Kelly Lynne Ott | Social Worker | 1255 N Oakland Blvd, Waterford, MI 48327-1545 | 2020-05-18 |
| 1487213922 | Kelly Maureen Ott | Occupational Therapist | 21309 Lowland Ave, Eagle River, AK 99577-9565 | 2019-06-09 |
| 1518201185 | Kelly A Ott | Specialist/Technologist, Other | 9200 W Wisconsin Ave, Department of Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2012-11-20 |
| 1275734261 | Kelly S Ott | Obstetrics & Gynecology | 6420 Clayton Rd, Dept. of Ob-gyn, Suite 291, Saint Louis, MO 63117-1811 | 2007-05-29 |
| Street Address |
3860 W OGDEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517411 | Thomas D Huggett | Family Medicine | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2005-09-01 |
| 1730797754 | Carly Elaine Hodge | Student in an Organized Health Care Education/Training Program | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-07-15 |
| 1619504586 | Elisabeth D Lucien | Social Worker | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2020-03-23 |
| 1396386850 | Matthew Hussey | Psychologist | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-10-04 |
| 1396391926 | Nora Hernandez | Nurse Practitioner | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-08-09 |
| 1407412745 | Ying Chun Mei | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-05-13 |
| 1538722079 | Dennis Bourne | Counselor | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-04-19 |
| 1346709052 | Jeneal M Duff | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-03-13 |
| 1003380817 | Anna Tornquist | Counselor | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2019-01-15 |
| 1689144164 | Angela Mary Thomas | Physician Assistant | 3860 W Ogden Ave, Chicago, IL 60623 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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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.