Active NPI
Carl E Otten, MD
- Occupational Medicine Physician
- Chillicothe, OH
National Provider Identifier
1154349207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 35.076093
- Practice address
- 272 Hospital Rd
Chillicothe, OH 45601-9031 - Phone
- (740) 779-7250
- Fax
- (740) 779-7329
- NPI assigned
- Jul 17, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 35.076093 | OH | Primary |
Addresses
Primary practice location
272 Hospital Rd
Chillicothe, OH 45601-9031
Mailing address
272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-8234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139699 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.076093 | OH | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1154349207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 HOSPITAL RD",
"address_2": "SUITE 3",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019031",
"telephone_number": "740-779-8234",
"fax_number": "740-779-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 HOSPITAL RD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019031",
"telephone_number": "740-779-7250",
"fax_number": "740-779-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEN",
"first_name": "CARL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "35.076093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2139699",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.