Elizabeth Ann Outten, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C50000614 Issued in DE

Practice address

1113 S State St
Dover, DE 19901-4112

Phone

(302) 735-8720

Fax

(302) 735-8724

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  DE

  Medicare reassignment NPD
• Khan Obstetrics & Gynecology Associates, PA

  • Obstetrics & Gynecology Physician
  • Dover, DE
  • NPI 1194766980
  NPD (past)
• Atlantic Professional Services of New Jersey, P.a.

  • Physician Assistant
  • Stratford, NJ
  • NPI 1932145182
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1700043387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014112",
            "telephone_number": "302-735-8720",
            "fax_number": "302-735-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014112",
            "telephone_number": "302-735-8720",
            "fax_number": "302-735-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTTEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C50000614",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C5-0000614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abimbola Osunyele Osunkoya, M.D, M.R., C.O.G.
• Mohamed Othman
• Lauri Ott
• Kelly Marie Ottis, PA-C
• Outpatient Urology Center of Dover, LLC
• Caitlin Owens
• Afua Owusu-Donkor, PA-C
• Nana-Amma Mintaa Owusu-Donkor, LCSW
• Juanita Michelle Owusu
• Aspen Ozer

• Medical Physician Assistant in Dover, DE
• Providers in Dover, DE by specialty
• Medical Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.

Verify at the official NPI Registry.