NPIMap

Individual provider Active NPI

Elizabeth Ann Ottney, DO

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1154397933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4208 Issued in AZ
Practice address
7029 E Russell St
Mesa, AZ 85207-0996
Phone
(270) 348-2215
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02685 KY
Family Medicine Physician 207Q00000X 4208 AZ Primary

Addresses

Primary practice location

7029 E Russell St
Mesa, AZ 85207-0996

Mailing address

7029 E Russell St
Mesa, AZ 85207-0996
Phone (270) 348-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000196 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 1759376510 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1910 S Gilbert Rd
Mesa, AZ 85204-6808
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4208AZMDFamily Medicine Physician
02685KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2007 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 14, 2019 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC Emergency Medicine CurrentSince Jun 25, 2012 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Sep 16, 2020 Accepting new patients
Emergency Medical Solutions, LTD. Emergency Medicine Past Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1910 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 410-6150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 7

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154397933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7029 E RUSSELL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852070996",
            "telephone_number": "270-348-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 E RUSSELL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852070996",
            "telephone_number": "270-348-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTNEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02685",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.