Theodore Otti (NPI# 1316950884, PAC ID# 4789633348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1316950884 |
| PAC ID by PECOS | 4789633348 |
| Professional Enrollment ID | I20080827000043 |
| Full Name | Theodore Otti |
| Address |
2610 Clark Ave Saint Louis MO 63103-2502 |
| Phone Number | 3145340909 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 1035 Bellevue Ave, Suite 315, Richmond Heights, MO 63117-1856 | 3146836110 | |
| 11133 Dunn Rd, Saint Louis, MO 63136-6119 | 3146535000 | |
| 2610 Clark Ave, Saint Louis, MO 63103-2502 | 3145340909 | |
| 324 De Baliviere Ave, Saint Louis, MO 63112-1804 | 3143679111 | |
| 4030 Chouteau Ave, Suite 1, Saint Louis, MO 63110-1754 | 3143612273 | |
| 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 3148622138 | |
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 3147688000 |
| Street Address |
2610 CLARK AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63103-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel W Coyne | Nephrology | Washington University | 2610 Clark Ave, Saint Louis, MO 63103-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Franssens | Nurse Practitioner | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| William C Summers | Internal Medicine | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| Ernie Paul Barrette | Internal Medicine | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| Linda Diggs | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Elizabeth Ann Reinberg | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Margaret A Schicker | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Kristin B Bulin | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Ann M Ward | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Rosemary B Jackson | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Elizabeth Walden | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Find all physicians in zip 63103 | |||
| City | SAINT LOUIS |
| Zip Code | 63103 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAINT LOUIS + NEPHROLOGY |
Please comment or provide details below to improve the information on Theodore Otti.
| 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.