Individual provider Active NPI

Rick Arlin Otwell, PA-C

  • Medical Physician Assistant
  • Oxford, AL
National Provider Identifier
1366495160
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-216 Issued in AL
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

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009935383MedicaidAL
009911337MedicaidAL

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-216ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Emergency Physicians, LLC. CurrentSince Dec 15, 2013 Accepting new patients
Jackson Montgomery Emergency Physcians, LLC CurrentSince Jan 1, 2015 Accepting new patients
Keel and Associates CurrentSince May 19, 2024 Accepting new patients
Riverview Emergency Physicians LLC Past Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 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.

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

Verify at the official NPI Registry.