Active NPI
Thomas A Otter, MD
- Orthopaedic Surgery Physician
- Lewes, DE
National Provider Identifier
1346240876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C10008890
- Practice address
- 17005 Old Orchard Rd
Lewes, DE 19958-4828 - Phone
- (302) 644-3311
- Fax
- (302) 644-3300
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C10008890 | DE | Primary |
Addresses
Primary practice location
17005 Old Orchard Rd
Lewes, DE 19958-4828
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 451-6913
Other identifiers 25
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510370286 | Other | DE | PERDUE FARMS, INC. |
| 4056337 | Other | DE | AETNA US HEALTHCARE |
| 510370286 | Other | ONE NET PPO | |
| 264933 | Other | UNISON HEALTH PLAN | |
| 510370286 | Other | DE | DEVON HEALTH SERVICES |
| 510370286 | Other | UNITED HEALTHCARE | |
| 1346240876 | Medicaid | DE | |
| 3692762000 | Other | DE | AMERIHEALTH |
| 510370286 | Other | UNION LABOR LIFE INSURANCE COMPANY | |
| 1346240876 | Other | COMMUNITY HEALTH PLAN | |
| 510370286 | Other | PRIVATE HEALTHCARE SYSTEMS | |
| 510370286 | Other | HEALTH NET FEDERAL SERVICES / TRICARE | |
| 1346240876 | Other | NATIONAL CAPITAL PPO | |
| 510370286 | Other | OPTIMUM CHOICE | |
| 510370286 | Other | CORVEL CORPORATION | |
| 510370286 | Other | EASTERN SUSSEX PHYSICIAN ORGANIZATION, P.A. (ESPO) | |
| 1346240876 | Other | DELAWARE PHYSICIANS CARE, INC. | |
| 510370286 | Other | BLUE CROSS BLUE SHIELD OF DELAWARE | |
| 1346240876 | Other | CREENAGHT HEALTH PLAN | |
| 510370286 | Other | MULTIPLAN, INC. | |
| 510370286 | Other | GREAT WEST HEALTHCARE | |
| 510370286 | Other | MAMSI | |
| 510370286 | Other | M.D. IPA | |
| 510370286 | Other | DE | CIGNA |
| P00712879 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| First State Orthopaedics, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Memorial Hospital and Medical Center of Cumberland, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1669437216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1346240876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-451-6913",
"fax_number": "302-368-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17005 OLD ORCHARD RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199584828",
"telephone_number": "302-644-3311",
"fax_number": "302-644-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTER",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C10008890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERDUE FARMS, INC.",
"identifier": "510370286",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4056337",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NET PPO",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "264933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON HEALTH SERVICES",
"identifier": "510370286",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "510370286",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346240876",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "3692762000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNION LABOR LIFE INSURANCE COMPANY",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "1346240876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEMS",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FEDERAL SERVICES / TRICARE",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAPITAL PPO",
"identifier": "1346240876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL CORPORATION",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EASTERN SUSSEX PHYSICIAN ORGANIZATION, P.A. (ESPO)",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYSICIANS CARE, INC.",
"identifier": "1346240876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF DELAWARE",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREENAGHT HEALTH PLAN",
"identifier": "1346240876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN, INC.",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.D. IPA",
"identifier": "510370286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "510370286",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00712879",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.