| Dr Roger Keith Ottman, MD | |
|
1512 12th Ave Rd, Nampa, ID 83686-6008 | |
| (208) 463-5100 | |
| Not Available |
| Full Name | Dr Roger Keith Ottman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1512 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790705283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M-3812 (Idaho) | Primary |
| Entity Name | Ies Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059 |
| Entity Name | Ies Obs Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356006670 PECOS PAC ID: 7719364991 Enrollment ID: O20220509000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Keith Ottman, MD 1100 River Heights Dr, Meridian, ID 83642-5166 Ph: (208) 841-1814 | Dr Roger Keith Ottman, MD 1512 12th Ave Rd, Nampa, ID 83686-6008 Ph: (208) 463-5100 |
Dr. John Kodatt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855 | |
Dr. Richard C Ballantyne, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-364-3000 | |
Dr. Eric Paul Kendall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100 | |
William R England, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 | |
Thomas Ronay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-505-2800 | |
John Mullins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave Rd, Nampa, ID 83686 Phone: 208-498-1080 | |
Dr. Mitchell D Long, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100 |