Todd M Otstot in Caldwell - Physician Assistant
Todd M Otstot - NPI 1275523276
Todd M Otstot is a Physician Assistant in Caldwell, Idaho. Todd M Otstot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd M Otstot is 1275523276. The last update date is 2022-10-06.
Todd M Otstot's current location address is 206 E Elm St, Caldwell, Idaho. You can contact this provider via phone number 2084594511 and fax number 2084596602. The mailing address for Todd M Otstot is 206 E Elm St, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd M Otstot |
|---|---|
| Address | 206 E Elm St, Caldwell, Idaho |
| Phone Number | 2084594511 |
| Fax Number | 2084596602 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1275523276 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2022-10-06 |
Provider Mailing Address Detail
| Address | 206 E Elm St |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836054815 |
| Phone Number | 2084594511 |
| Fax Number | 2084596602 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-356 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10035293 | ID | BLUE SHIELD | |
| 970022197 | ID | RAILROAD MEDICARE | |
| 806153700 | ID | -- | |
| 10035292 | ID | BLUE SHIELD | |
| PAA02 | ID | BLUE CROSS | |
| PAAE9 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Todd M Otstot by the Centers for Medicare & Medicaid Services?
The Todd M Otstot has been issued the NPI (National Provider Identifier) 1275523276, which 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 Todd M Otstot?
The Todd M Otstot is physically situated at 206 E Elm St, in the city of Caldwell, state of ID, with the postal code 836054815.
What is Todd M Otstot's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Todd M Otstot is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275523276 to Todd M Otstot?
The Todd M Otstot received its 1275523276 assignment from the Centers for Medicare & Medicaid Services on 2005-10-21.
As of what date was the information pertaining to Todd M Otstot, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Todd M Otstot, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-06.