Otis Edd Payne, M.D.,Ps in Lake Forest Park - Psychiatry
Otis Edd Payne, M.D.,Ps - NPI 1073705166
Otis Edd Payne, M.D.,Ps is a Psychiatry in Lake Forest Park, Washington. Otis Edd Payne, M.D.,Ps practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Otis Edd Payne, M.D.,Ps is 1073705166. The last update date is 2007-08-13.
Otis Edd Payne, M.D.,Ps's current location address is 18015 53rd Ave Ne, Lake Forest Park, Washington. You can contact this provider via phone number 2064272171 and fax number 4256708293. The mailing address for Otis Edd Payne, M.D.,Ps is 18015 53rd Ave Ne, Lake Forest Park, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Otis Edd Payne, M.D.,Ps |
|---|---|
| Address | 18015 53rd Ave Ne, Lake Forest Park, Washington |
| Phone Number | 2064272171 |
| Fax Number | 4256708293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Payne Edd Otis |
| Credentials | M.D. |
| Telephone Number | 2064272171 |
NPI Number Detail
| NPI Number | 1073705166 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 18015 53rd Ave Ne |
|---|---|
| City | Lake Forest Park |
| State | Washington (WA) |
| Post Code | 981554361 |
| Phone Number | 2064272171 |
| Fax Number | 4256708293 |
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 | -- | |
| G8801577 | WA | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Otis Edd Payne, M.D.,Ps by the Centers for Medicare & Medicaid Services?
The Otis Edd Payne, M.D.,Ps has been issued the NPI (National Provider Identifier) 1073705166, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Otis Edd Payne, M.D.,Ps is geographically located?
The Otis Edd Payne, M.D.,Ps is physically situated at the following location: 18015 53Rd Ave Ne, Lake Forest Park, WA, 981554361.
What is Otis Edd Payne, M.D.,Ps's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Otis Edd Payne, M.D.,Ps is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Otis Edd Payne, M.D.,Ps receive the assignment of its 1073705166 from the Centers for Medicare & Medicaid Services?
The Otis Edd Payne, M.D.,Ps was issued its 1073705166 by the Centers for Medicare & Medicaid Services on 2007-08-13.
As of what date were the details related to Otis Edd Payne, M.D.,Ps most recently updated or revised?
The information pertaining to Otis Edd Payne, M.D.,Ps, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-13.
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