Otis Edd Payne in Lake Forest Park - Psychiatry
Otis Edd Payne - NPI 1114065612
Otis Edd Payne is a Psychiatry in Lake Forest Park, Washington. Otis Edd Payne practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Otis Edd Payne is 1114065612. The last update date is 2007-07-08.
Otis Edd Payne's current location address is 18015 53rd Ave Ne, Lake Forest Park, Washington. You can contact this provider via phone number 2064272171. The mailing address for Otis Edd Payne is 18015 53rd Ave Ne, Lake Forest Park, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Edd Payne |
|---|---|
| Address | 18015 53rd Ave Ne, Lake Forest Park, Washington |
| Phone Number | 2064272171 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114065612 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18015 53rd Ave Ne |
|---|---|
| City | Lake Forest Park |
| State | Washington (WA) |
| Post Code | 98155 |
| Phone Number | 2064272171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD00010587 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1199009 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Otis Edd Payne by the Centers for Medicare & Medicaid Services?
The Otis Edd Payne has been issued the NPI (National Provider Identifier) 1114065612. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Otis Edd Payne?
The Otis Edd Payne is physically situated at 18015 53Rd Ave Ne, in the city of Lake Forest Park, state of WA, with the postal code 98155.
What is Otis Edd Payne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Otis Edd Payne is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
On what date was the 1114065612 assigned to Otis Edd Payne?
The Otis Edd Payne was issued its 1114065612 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Otis Edd Payne last refreshed?
The information related to the Otis Edd Payne, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA