Wendy K Ottenbacher, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C1-008290 Issued in DE

Practice address

701 N Clayton St
Wilmington, DE 19805-3165

Phone

(302) 421-4333

NPI assigned

Jan 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physician Associates of Delaware PC

  • Emergency Medicine Physician
  • Wilmington, DE
  • NPI 1679514467
  Medicare reassignment NPD
• West Grove Clinic Company LLC

  • Family Medicine Physician
  • West Grove, PA
  • NPI 1790856078

  Emergency Medicine

  Medicare reassignment NPD
• West Grove Clinic Company LLC

  • Neurology Physician
  • West Grove, PA
  • NPI 1093355992
  NPD
• Delmar Emergency Specialists PA

  • Emergency Medicine Physician
  • Elkton, MD
  • NPI 1851361224
  NPD (past)
• Dresnick Sterling Emergency Physicians of Maryland PA

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1083664908
  NPD (past)
• Memorial City Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1992730246
  NPD (past)
• Woodlands Emergency Physicians, LLP

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1245265537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1114907367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENBACHER",
        "first_name": "WENDY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0065609",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L8872",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C1-008290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00430507",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114907367",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129151000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413046400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W. Ostrowski, MD
• Susan E. Otero, MD
• Chinye Mukosolu Otojare, OD
• Otolaryngology Consultants PA
• Christy Ottavio, PHARMD
• Otto Raul Medinilla Sr MD
• Almoustapha Ouattara
• Our Mosaic Mind Mental Health Counseling PLLC
• Outpatient Procedure Centers, LLC
• Merrill Duncan Outslay, PT, ATC, CSCS

• Emergency Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Emergency Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.