Leo D. Ottoni, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

LO046410 Issued in MI

Practice address

2070 Biddle Ave
Suite 200
Wyandotte, MI 48192-4080

Phone

(734) 225-9100

Fax

(734) 225-9100

NPI assigned

Jan 30, 2006

Sex

Male

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

State licenses

Interoperability endpoints

• Direct secure messaging: lottoni15736@direct.hfhs.org

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1417928102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 FORT STREET SUITE D",
            "address_2": "ATTN: DENISE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-391-3057",
            "fax_number": "734-391-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BIDDLE AVE",
            "address_2": "SUITE 200",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924080",
            "telephone_number": "734-225-9100",
            "fax_number": "734-225-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTONI",
        "first_name": "LEO",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "LO046410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2591422",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0H28427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Kristine Olds, MD
• Daniel W Olenchak, DO
• Optimum Pathology Services PLLC
• Jackie Lynn Orta, OTD, OTR/L
• Timothy Lee Otto, D.O.
• Out of Ashes LLC
• P.T. Plus Therapeutic Resources, Inc.
• Andrea Bree Panichella, PTA
• Stavroula Liogas Papadakos, PT
• Stacey Pardo, PTA

• Orthopaedic Hand Surgery Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Orthopaedic Hand Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.