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WILLIAM JOHN OETGEN M.D.
NPI 1073674925
Specialist in Waldorf, MD

Active since December 13, 2006
12070 OLD LINE CTR, SUITE 100, WALDORF, MD 20602(301) 705-7870(301) 705-9622 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William John Oetgen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM JOHN OETGEN M.D. (NPI 1073674925) is an individual specialist in Waldorf, Maryland, licensed in Maryland (D0016129) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073674925
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameWILLIAM JOHN OETGENCredential: M.D.
Location Address12070 OLD LINE CTR, SUITE 100Waldorf, MD 20602-2513
Mailing Address647 First StAlexandria, VA 22314-1511
Phone(301) 705-7870
Fax(301) 705-9622
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 2, 2009
✔ NPI 1073674925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0016129
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12070 OLD LINE CTR, Waldorf, MD 20602
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Other Identifiers 6

Medicaid463921900MD
Medicare PIN454L246TMD
Medicare UPINC87995MD
Medicare PINO60039318MD
Medicare PIN157722M92DC
Medicare PIN136953Y3NMD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MS. JENNIFER LYNN KNODE PAC
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JESSICA KHOURY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Charles County (301) 870-4100
DR. DAWN STEPHANIE CHRISTOPHER MD
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Charles County (301) 645-5100
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
TERENCE BERTELE M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 645-5100
SATISH JUMANI M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 202
WALDORF, MD 20602
Charles County (301) 638-7257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Oetgen's NPI number?

The NPI number for William Oetgen is 1073674925. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is William Oetgen located?

William Oetgen practices at 12070 Old Line Ctr Suite 100, Waldorf, MD 20602. The listed phone number is (301) 705-7870.

What is William Oetgen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for William Oetgen was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.