Otto Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD020344E Issued in PA

Legal business name

OTTO PEDIATRICS

Practice address

1570 Cornwall Road
Lebanon, PA 17042

Phone

(717) 273-4681

Fax

(717) 273-0946

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gene P Ottp III, MD

Title

Owner

Phone

(717) 273-4681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene P Otto III, MD

  • Pediatrics Physician
  • Lebanon, PA
  • NPI 1578586939
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952504250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CORNWALL ROAD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-273-4681",
            "fax_number": "717-273-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 CORNWALL ROAD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-273-4681",
            "fax_number": "717-273-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTP",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-273-4681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD020344E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007158250003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Lydia Ortiz
• Melissa Ortiz, LCSW
• Hannah Osborne, DO
• Bethany Oshel, MA, LPC, LBS
• Michelle Renee Ott, PTA
• Gene P Otto III, MD
• Susan Melissa Ouchis, MT-BC
• David J Overholt, M.D.
• Ashley Catherine Overmiller
• Alexandra Sarah Rose Owens, MT-BC

• Pediatrics Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.