Otsego Physical Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

136114-1 Issued in NY

Legal business name

OTSEGO PHYSICAL MEDICINE

Practice address

41-45 Dietz St
Oneonta, NY 13820-1855

Phone

(607) 431-9191

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Sarah Etzl

Title

Office Manager

Phone

(607) 431-9191

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1164688263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-45 DIETZ ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-45 DIETZ ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201855",
            "telephone_number": "607-431-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ETZL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-431-9191"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010988",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "136114-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otsego County Chemical Dependency Clinic
• Otsego County Mental Health
• Otsego Dental Care PLLC
• Otsego Magnetic Resonance Imaging Center
• Otsego Medical Services PC
• Theresa Lynn Outman, FNP-C
• David J Oxley, M.D.
• Abiodun Oyebola, MD
• Catherine Ann Paluch, M.S.W., LC.S.W.-R
• Deanna Palumbo, M.D.

• Orthopaedic Surgery Physician in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.