Marilyn Marjorie Otto, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17217 Issued in WV

Practice address

5170 US RT 60 E
Huntington, WV 25705

Phone

(304) 528-4619

Fax

(304) 399-0133

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1255372967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 US RT 60 E",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25705",
            "telephone_number": "304-528-4619",
            "fax_number": "304-399-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 US RT 60 E",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25705",
            "telephone_number": "304-528-4619",
            "fax_number": "304-399-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "MARILYN",
        "middle_name": "MARJORIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075595000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Osterwise, PSY.D.
• Lauren Marie Ott, ED.S., NCSP
• Jennifer Nicole Ottaviano
• Peter Ottaviano, DO
• Angela Renee Ottiwu
• Steve Ouellet
• Lauren Ould
• Kerri Ours
• Kathryn Elizabeth Overton, BA
• Ovp Health Care Inc

• Internal Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.