Otto Raul Medinilla Sr MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C10001897 Issued in DE

Legal business name

OTTO RAUL MEDINILLA SR MD

Practice address

110 Weldin Park Dr
Wilmington, DE 19803-4710

Phone

(302) 764-8693

Fax

(302) 764-8693

NPI assigned

Mar 7, 2008

Last updated

Dec 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Otto Raul Medinilla Sr., M.D.NPI 1649259540

Title

Owner

Phone

(302) 764-8693

Specialties & licenses 1

Addresses

Other names 1

• Otto R Medinilla MD FACS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Otto R Medinilla Jr., PAC

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1649259540
  NPD (past) Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1780854596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WELDIN PARK DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034710",
            "telephone_number": "302-764-8693",
            "fax_number": "302-764-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WELDIN PARK DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034710",
            "telephone_number": "302-764-8693",
            "fax_number": "302-764-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO RAUL MEDINILLA SR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "MEDINILLA",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-764-8693",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "DE",
            "license": "C10001897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otto R Medinilla MD FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan E. Otero, MD
• Chinye Mukosolu Otojare, OD
• Otolaryngology Consultants PA
• Christy Ottavio, PHARMD
• Wendy K Ottenbacher, M.D.
• Almoustapha Ouattara
• Our Mosaic Mind Mental Health Counseling PLLC
• Outpatient Procedure Centers, LLC
• Merrill Duncan Outslay, PT, ATC, CSCS
• Nicole Kristine Outten, MSW, LCSW

• Neurological Surgery Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Neurological Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.