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RANDOLPH OTTO MD NPI 1881767606


NPI Information

NPI: 1881767606
Provider Name: RANDOLPH OTTO, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

Organization: THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
2202 S CEDAR ST STE 200
TACOMA, WA
ZIP 98405
Phone: (253) 383-1099
Get Directions

Randolph Otto, MD is a pediatric radiology radiology in Tacoma, WA with 39 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Randolph Otto, MD NPI is 1881767606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1985

The provider's business location address is:

2202 S CEDAR ST STE 200
TACOMA, WA
ZIP 98405-318
Phone: (253) 383-1099
Fax: (253) 383-3919

The NPI 1881767606 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), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.


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
12085P0229XRadiologyPediatric Radiology00027380WASHINGTONYes

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
18125395MEDICAIDWASHINGTON
2E09058MEDICARE UPINWASHINGTON
3OO1055620MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONTACOMA RADIOLOGICAL ASSOC
4AB01917MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONUNION AVENUE OPEN MRI

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: 11/14/2023

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.