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DR. DAVID ZACHARY OTHMAN M.D. M.H.S.A NPI 1760741938


NPI Information

NPI: 1760741938
Provider Name: DR. DAVID ZACHARY OTHMAN, M.D., M.H.S.A
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

PECOS Registration: Yes

Address:
2202 N HALSTED ST STE 1
CHICAGO, IL
ZIP 60614
Phone: (312) 600-5826
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DR. David Zachary Othman, M.D., M.H.S.A is a procedural dermatology dermatology in Chicago, IL with 12 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. David Zachary Othman, M.D., M.H.S.A NPI is 1760741938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

2202 N HALSTED ST STE 1
CHICAGO, IL
ZIP 60614-625
Phone: (312) 600-5826
Fax: (872) 260-5008

The NPI 1760741938 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 5/9/2012 and was last updated on 12/23/2023.


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
1207NP0225XDermatologyPediatric Dermatology036144735ILLINOISNo
2207NS0135XDermatologyProcedural Dermatology143497CALIFORNIANo
3207NS0135XDermatologyProcedural Dermatology036144735ILLINOISYes
4207N00000XDermatology036144735ILLINOISNo
5207N00000XDermatology143497CALIFORNIANo
6207ND0101XDermatologyMOHS-Micrographic Surgery036144735ILLINOISNo
7207ND0101XDermatologyMOHS-Micrographic Surgery143497CALIFORNIANo

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
1024369500MEDICAIDFLORIDA

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.