Susan E Otero MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD14270 Issued in DC

Legal business name

SUSAN E OTERO MD PC

Practice address

1145 19TH St NW
Suite 717
Washington, DC 20036-3701

Phone

(202) 785-4298

Fax

(202) 785-1370

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. J. Pablo Otero

Title

Practice Administrator

Phone

(202) 785-4298

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Konrad L Dawson, M.D.

  • Plastic Surgery Physician
  • Washington, DC
  • NPI 1164580619
  NPD (past)
• Paul Gray Ruff IV, MD, FACS

  • Plastic Surgery Physician
  • Washington, DC
  • NPI 1235102682
  NPD (past)
• Jules Feledy Jr., MD

  • Plastic Surgery Physician
  • Chevy Chase, MD
  • NPI 1508883521
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1477607778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33548",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200330548",
            "telephone_number": "202-785-4298",
            "fax_number": "202-785-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 717",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-785-4298",
            "fax_number": "202-785-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E OTERO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "J. PABLO",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "202-785-4298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD14270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DA3132",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Cristina Surtees
• Rabiat M Surur
• Zeynab J Surur
• Survivor to Thriver
• Susahealth LLC
• Susan Gentz Gillespie, LMFT
• Susan J Mann
• Susan Tillman Elliott
• Susannah Stein LLC
• Sushma Goyal

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.