James Otto, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D39178 Issued in MD

Legal business name

JAMES OTTO, M.D., P.A.

Practice address

8835 Columbia 100 Parkway
Suite N
Columbia, MD 21045-2147

Phone

(410) 997-0909

Fax

(410) 997-0504

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Ellen Hagen

Title

Billing Manager

Phone

(410) 203-2882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1730378142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 GARAND RD.",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-465-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE N",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452147",
            "telephone_number": "410-997-0909",
            "fax_number": "410-997-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES OTTO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-203-2882"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D39178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rachel Jaissle, CRNP-PMH
• Pramila N Jaladanki, CRNP
• Celina Jallad
• Asiatu Jalloh, RN
• Joseph K Jamaris, M.D.
• Eldon James, M. AC., L. AC.
• Jaylah James
• Kenya James
• Lisa Monique James, LCSW-C
• Phillip James

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.