Active NPI
Christopher E Ott, MD
- Obstetrics & Gynecology Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 48815
- Practice address
- 2603 White Bear Ave N
Maplewood, MN 55109-5110 - Phone
- (651) 600-3035
- Fax
- (651) 348-8783
- NPI assigned
- Nov 15, 2005
- 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 | 48815 | WI | Primary |
Addresses
Primary practice location
2603 White Bear Ave N
Maplewood, MN 55109-5110
Mailing address
2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035
Other practice location 1
403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6800
Other practice location 2
1687 Woodlane Dr Ste 101
Woodbury, MN 55125-3046
Phone (651) 600-3035
Other practice location 3
86 Coulee Rd Unit 2
Hudson, WI 54016-2371
Phone (651) 600-3035
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34518300 | Medicaid | WI | |
| 390807236CQ | Other | WI | UNITY |
| WI01R8 | Other | WI | JOHN DEERE |
| P00152829 | Other | WI | RAILROAD MEDICARE |
| 13783 | Other | WI | DEAN |
| 392787907005 | Other | WI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48815 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Comprehensive Healthcare for Women, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
Interoperability endpoints
- cott362729@excellian.direct.allina.com
Organizations & group practices 3
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.
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
dba Western Wisconsin Health Spring Valley Clinic
- Clinic/Center
- Spring Valley, WI
- NPI 1164272324
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1841235595
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1306828413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 WHITE BEAR AVE N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095110",
"telephone_number": "651-600-3035",
"fax_number": "651-348-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 WHITE BEAR AVE N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095110",
"telephone_number": "651-600-3035",
"fax_number": "651-348-8783"
}
],
"practiceLocations": [
{
"address_1": "403 STAGELINE RD",
"address_purpose": "LOCATION",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1687 Woodlane Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551253046",
"country_code": "US",
"telephone_number": "651-600-3035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86 Coulee Rd Unit 2",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540162371",
"country_code": "US",
"telephone_number": "651-600-3035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTT",
"first_name": "CHRISTOPHER",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "48815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34518300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY",
"identifier": "390807236CQ",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI01R8",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00152829",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN",
"identifier": "13783",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "392787907005",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.