Active NPI
Robert Ottenritter, M.D.
- Obstetrics & Gynecology Physician
- Towson, MD
National Provider Identifier
1184775280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D31272
- Practice address
- 6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800 - Phone
- (410) 823-1120
- Fax
- (410) 296-9009
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D31272 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800
Mailing address
6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800
Phone (410) 823-1120
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252179 | Other | MD | MAMSI MDIPA OPT CHOICE |
| W3870004 | Other | MD | BCBS FEDERAL NTL BLUE CHO |
| 4141363 | Other | MD | AETNA NON HMO |
| 12276 | Other | MD | AETNA GROUP 122773 |
| KC24 | Other | MD | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184775280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "PHYSICIANS PAVILION EAST SUITE 212",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "410-823-1120",
"fax_number": "410-296-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "PHYSICIANS PAVILION EAST SUITE 212",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "410-823-1120",
"fax_number": "410-296-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTENRITTER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D31272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI MDIPA OPT CHOICE",
"identifier": "252179",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL NTL BLUE CHO",
"identifier": "W3870004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4141363",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP 122773",
"identifier": "12276",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "KC24",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.