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DR. MARY L OTTINGER DPM NPI 1821149782


NPI Information

NPI: 1821149782
Provider Name: DR. MARY L OTTINGER, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904
Phone: (706) 724-0586
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DR. Mary L Ottinger, DPM is a primary podiatric medicine podiatrist in Augusta, GA with 41 years of experience. DR. Mary L Ottinger, DPM NPI is 1821149782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1983

The provider's business location address is:

1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904-827
Phone: (706) 724-0586
Fax: (706) 724-4468

The NPI 1821149782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)

The enumeration date for this NPI number is 1/16/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ER0200XPodiatristRadiologyGA520GEORGIANo
2213ES0000XPodiatristSports MedicineGA520GEORGIANo
3213ES0103XPodiatristFoot & Ankle SurgeryGA520GEORGIANo
4213EP1101XPodiatristPrimary Podiatric MedicineGA520GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11196250004MEDICARE NSC
2GPO520MEDICAIDSOUTH CAROLINA
348SCBTHMEDICARE PINGEORGIA
4480021298MEDICARE PINGEORGIA
5GA520OTHERGEORGIASTATE LICENSE NUMBER
6T97767MEDICARE UPINGEORGIA
7000314278CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.