J. a. Ottaviano M. D. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35057331 Issued in OH

Legal business name

J. A. OTTAVIANO M. D. INC.

Practice address

264 S Liberty St
Powell, OH 43065-7616

Phone

(614) 885-7337

Fax

(614) 885-0057

NPI assigned

Nov 6, 2007

Last updated

Dec 17, 2007By 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. Joseph A. Ottaviano, M. D.NPI 1942368816

Title

President

Phone

(614) 885-7337

Specialties & licenses 1

Addresses

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.

• Joseph A. Ottaviano, M.D.

  • Family Medicine Physician
  • Powell, OH
  • NPI 1942368816
  Authorized official Same address or phone

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1891975074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657616",
            "telephone_number": "614-885-7337",
            "fax_number": "614-885-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657616",
            "telephone_number": "614-885-7337",
            "fax_number": "614-885-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. A. OTTAVIANO M. D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "OTTAVIANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-885-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Powell, OH
• Providers in Powell, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.