Active NPI
Rick Arlin Otwell, PA-C
- Medical Physician Assistant
- Oxford, AL
National Provider Identifier
1366495160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-216
- Practice address
- 1612 Highway 78 East
Suite 100
Oxford, AL 36203-5862 - Phone
- (256) 835-4756
- Fax
- (256) 831-5736
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-216 | AL | Primary |
Addresses
Primary practice location
1612 Highway 78 East
Suite 100
Oxford, AL 36203-5862
Mailing address
7306 Weatherford Trce
Trussville, AL 35173-5111
Phone (205) 661-3938
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009935383 | Medicaid | AL | |
| 009911337 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-216 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Clair Emergency Physicians, LLC. | Current | Accepting new patients | |
| Jackson Montgomery Emergency Physcians, LLC | Current | Accepting new patients | |
| Keel and Associates | Current | Accepting new patients | |
| Riverview Emergency Physicians LLC | Past | Accepting new patients | |
| Physician First Health Network | Past | Accepting new patients | |
| Anniston Emergency Group LLC | Past | Accepting new patients | |
| Carraway Emergency Physicians, LLC | Past | Accepting new patients | |
| After Hours Family Medicine Hoover | Past | Accepting new patients |
Locations
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1952358590
-
- General Practice Physician
- Oxford, AL
- NPI 1720136443
-
- Emergency Medicine Physician
- Pell City, AL
- NPI 1619112141
-
- Urgent Care Clinic/Center
- Birmingham, AL
- NPI 1104033208
-
- Emergency Medicine Physician
- Anniston, AL
- NPI 1043520059
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1235186875
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1184822652
-
- Public Health or Welfare Agency
- Alpharetta, GA
- NPI 1598558181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1366495160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7306 WEATHERFORD TRCE",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351735111",
"telephone_number": "205-661-3938",
"fax_number": "205-661-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 HIGHWAY 78 EAST",
"address_2": "SUITE 100",
"city": "OXFORD",
"state": "AL",
"postal_code": "362035862",
"telephone_number": "256-835-4756",
"fax_number": "256-831-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTWELL",
"first_name": "RICK",
"middle_name": "ARLIN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2024-05-15",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA-216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009935383",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911337",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.