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DAVID THOMAS OTTENBAKER MD
NPI 1386648624
Family Medicine in Grand Haven, MI

Active since June 01, 2005
1445 SHELDON RD, SUITE 201, GRAND HAVEN, MI 49417(616) 846-8540 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Thomas Ottenbaker Md NPPES

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

DAVID THOMAS OTTENBAKER MD (NPI 1386648624) is an individual family medicine provider in Grand Haven, Michigan, licensed in Michigan (4301047511) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1386648624
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID THOMAS OTTENBAKERCredential: MD
Location Address1445 SHELDON RD, SUITE 201Grand Haven, MI 49417-2480
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Phone(616) 846-8540
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1386648624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301047511
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1445 SHELDON RD, Grand Haven, MI 49417
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Other Identifiers 2

Medicare PINM74460273MI
Medicare UPINB45936

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.

MEGAN AUFFREY ZAMBIASI MA, LLP
Psychologist
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
SHAWN PATRICK REIDY MD
Family Medicine
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
1445 SHELDON RD, HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
JENNIFER MARIE ZERKLE FNP-C
Nurse Practitioner
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1550
RICHARD ANTHONY BASZLER II D.O.
Orthopaedic Surgery
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-9100
SHORELINE OPTICAL, LLC
Eyewear Supplier
1445 SHELDON RD, SUITE 100
GRAND HAVEN, MI 49417
Ottawa County (231) 739-9009
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1860
KAYLIE DIONNE WATERS RN, BSN
Nurse Practitioner
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500

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 David Ottenbaker's NPI number?

The NPI number for David Ottenbaker is 1386648624. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is David Ottenbaker located?

David Ottenbaker practices at 1445 Sheldon Rd Suite 201, Grand Haven, MI 49417. The listed phone number is (616) 846-8540.

What is David Ottenbaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Ottenbaker was last updated on January 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.