Organization Active NPI

Richard E Otoski MD PC

  • Dermatology Physician
  • Klamath Falls, OR
National Provider Identifier
1750563813
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD11020 Issued in OR
Legal business name
RICHARD E OTOSKI MD PC
Practice address
2303 Clairmont Dr
Klamath Falls, OR 97601-7149
Phone
(541) 883-3427
Fax
(541) 883-3469
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Richard E Otoski, MD
Title
President
Phone
(541) 883-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD11020 OR Primary

Addresses

Primary practice location

2303 Clairmont Dr
Klamath Falls, OR 97601-7149

Mailing address

PO Box 848957
Boston, MA 02284-8957
Phone (541) 883-3427

Other identifiers 3

IdentifierTypeStateIssuer
1528079423OtherORNPI #1
ROOOOBHJBSOtherORGROUP
005298MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1750563813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848957",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848957",
            "telephone_number": "541-883-3427",
            "fax_number": "541-883-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CLAIRMONT DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017149",
            "telephone_number": "541-883-3427",
            "fax_number": "541-883-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E OTOSKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "OTOSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-883-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD11020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #1",
            "identifier": "1528079423",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "ROOOOBHJBS",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005298",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

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