Kimberly W Otto (NPI# 1346340064, PAC ID# 1052490794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346340064 |
| PAC ID by PECOS | 1052490794 |
| Professional Enrollment ID | I20080506000431 |
| Full Name | Kimberly W Otto |
| Organization Legal Name | SCRANTON PRIMARY HEALTH CARE CENTER INC |
| Address |
425 Alder St Scranton PA 18505-4116 |
| Phone Number | 5709555524 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941206650 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 Alder St, Scranton, PA 18505-4116 | 5709555524 | SCRANTON PRIMARY HEALTH CARE CENTER INC |
| 959 Wyoming Ave, Scranton, PA 18509-3023 | 5703449684 | SCRANTON PRIMARY HEALTH CARE CENTER INC |
| Organization Legal Name | SCRANTON PRIMARY HEALTH CARE CENTER INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luiz Felipe Galvao | Internal Medicine | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Amy M Schoonover | Nurse Practitioner | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Michael Madden | Internal Medicine | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Lisa Black-lafferty | Clinical Social Worker | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Archana Singh | Internal Medicine | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Elaine Richards-hercher | Certified Nurse Midwife (cnm) | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Wasique M Mirza | Internal Medicine | Scranton Primary Health Care Center Inc | 959 Wyoming Ave, Scranton, PA 18509-3023 |
| Street Address |
425 ALDER ST |
| City | SCRANTON |
| State | PA |
| Zip | 18505-4116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Christine Bodnar | Clinical Social Worker | 631 Cedar Ave, Scranton, PA 18505-1211 | |
| Jessica R Eberle | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Jill Diane Kissolovege | Internal Medicine | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Kelly Marie Pidgeon | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Aunisha V Desai | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Samipkumar Patel | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Amanda Lee Crambo | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Erika L Black | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Tara Ann Cywinski | Nurse Practitioner | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Corinna Jay Kirkpatrick | Physician Assistant | Lake Scranton Urgent Care LLC | 1141 Moosic St, Suite 3, Scranton, PA 18505-2105 |
| Find all physicians in zip 18505 | |||
| City | SCRANTON |
| Zip Code | 18505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SCRANTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.