RICHARD ELMER OTTO MD NPI 1730266420

Family Medicine in Georgetown, TX

Individual Male Family Medicine PECOS Enrolled Accepts Medicare Years Experience 18

About RICHARD OTTO

Richard Otto is a provider in Georgetown, TX with more than 18 years of experience. The NPI number assigned to this provider is 1730266420. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 12 years ago. Richard Otto is registered with Medicare and accepts claims assignment.

NPI

1730266420

Provider Name RICHARD ELMER OTTO MD
Provider Location Address908 ROCKMOOR DR GEORGETOWN, TX 78628
Provider Mailing Address908 ROCKMOOR DR GEORGETOWN, TX 78628
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-01-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.L9409
License StateTX
Taxonomy DescriptionFamily 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.

Business Address

RICHARD ELMER OTTO MD
908 ROCKMOOR DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 868-0901
Fax: (512) 868-1527

Get Directions

Mailing Address

RICHARD ELMER OTTO MD
908 ROCKMOOR DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 868-0901
Fax: (512) 868-1527

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
I10034MEDICARE UPIN (02)TN
8B9742MEDICARE ID-TYPE UNSPECIFIED (04)TX

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164509865 TONY I GAUNTT PA
Individual
Physician Assistant908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 868-0901
1205902368 ANNE F MARTINEZ PA
Individual
Physician Assistant908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 868-0901
1326125097 MURRAY ALAN SNOOK MD
Individual
Family Medicine908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 868-0901
1447480637AUSTIN NEUROSURGICAL AND SPINE INSTITUTE, PA
Organization
Neurological Surgery908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 345-5925
1639205271DR. MICHAEL ROSS MATTHYS D.C.
Individual
Chiropractor (Rehabilitation)908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 541-7784
1700946118FAMILY MEDICAL CENTER OF GEORGETOWN, PA
Organization
Family Medicine908 ROCKMOOR DR
GEORGETOWN, TX 78628
(512) 868-0901
1730512674HILL COUNTRY MHT LLC
Organization
Family Medicine908 ROCKMOOR DR
GEORGETOWN, TX 78628
(855) 860-2109

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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