C. JOE OTTINGER M.D. NPI 1952308140

NPI Information

NPI: 1952308140
Provider Name: C. JOE OTTINGER, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
7956 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-2416
Get Directions

C. Joe Ottinger, M.D. is a neurology psychiatry neurology in Fort Wayne, IN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. C. Joe Ottinger, M.D. NPI is 1952308140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7956 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-140
Phone: (260) 436-2416
Fax: (260) 436-9662

The enumeration date for this NPI number is 7/1/2005 and was last updated on 11/10/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	01023383A	INDIANA	Yes
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	01023383A	INDIANA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2717847	MEDICAID	MICHIGAN
2	668120E	MEDICARE PIN
3	100096120	MEDICAID	INDIANA
4	5506830003	MEDICARE NSC	INDIANA
5	B28464	MEDICARE UPIN
6	5506830001	MEDICARE NSC	INDIANA
7	130005977	OTHER	INDIANA	RR MEDICARE
8	0295872	MEDICAID	OHIO
9	130005977	MEDICARE PIN	INDIANA
10	0417132	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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