Ottawa Osteopathic Physicians, LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OTTAWA OSTEOPATHIC PHYSICIANS, LTD.

Practice address

645 W Main St
Ottawa, IL 61350

Phone

(815) 434-1977

Fax

(815) 434-2022

NPI assigned

Jul 28, 2006

Last updated

Jun 25, 2024By 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

Dr. Terry Wayne Love, D.O.NPI 1124034459

Title

Owner/President

Phone

(815) 434-1977

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Terry Wayne Love, D.O.

  • Family Medicine Physician
  • Ottawa, IL
  • NPI 1124034459
  Authorized official Same address or phone
• Danise Louise Dryfhout, APN, FNP-C, RN

  • Family Nurse Practitioner
  • Morris, IL
  • NPI 1841996469
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1851305262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-434-1977",
            "fax_number": "815-434-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-434-1977",
            "fax_number": "815-434-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA OSTEOPATHIC PHYSICIANS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-434-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DV3801",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "5020224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ottawa Medical Center, PC
• Ottawa Pavilion, LTD.
• Ottawa Regional Cardinal Sleep Center, LLC
• Ottawa Regional DME LLC
• Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group - Ottawa South)
• Ottawa Regional Hospital & Healthcare Center (OSF Healthcare - Medical Group - Ottawa)

• Family Medicine Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.