Ivan E Montalvo Otano (NPI# 1184660789, PAC ID# 3274509088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1184660789 |
| PAC ID by PECOS | 3274509088 |
| Professional Enrollment ID | I20040902001210 |
| Full Name | Ivan E Montalvo Otano |
| Organization Legal Name | SAMARITAN MEDICAL CENTER |
| Address |
830 Washington St Watertown NY 13601-4034 |
| Phone Number | 3157854000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 8123914876 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330157 | SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 830 Washington St, Watertown, NY 13601-4034 | 3157854000 | SAMARITAN MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | SAMARITAN MEDICAL CENTER |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John James Burnett | Family Medicine | Samaritan Medical Center | 26908 Independence Way, 100 Leray Cmns, Evans Mills, NY 13637-0000 |
| Ernesto N Levy | Rheumatology | Samaritan Medical Center | 629 Washington St, Rheumatology, Watertown, NY 13601-4836 |
| Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Sharen Yaworski | Nurse Practitioner | Samaritan Medical Center | 165 Coleman Ave, Watertown, NY 13601-2217 |
| Heather Emanuel | Physician Assistant | Samaritan Medical Center | 3 Demott St, Lacona, NY 13083-8302 |
| Aaron Dale Huizenga | Family Medicine | Samaritan Medical Center | 909 Strawberry Ln, Clayton, NY 13624-1409 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Street Address |
830 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-4034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
| Aaron E Robertshaw | Physician Assistant | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Diemthuy Nguyen | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Karl R Elsner | Nurse Practitioner | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Phillip A Chafe | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| William Niewieroski Jr. | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Brian D Roggie | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Maja L Lundborg Gray | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Irvin Sanchez | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Anne Hall | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | WATERTOWN + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Ivan E Montalvo Otano.
| 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.