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DAVID THOMAS OTTENBAKER MD, NPI 1386648624

Family Medicine in GRAND RAPIDS, MI

Last Updated on : Jan 24,2012

DAVID THOMAS OTTENBAKER MD, NPI 1386648624

About DAVID THOMAS OTTENBAKER (NPI 1386648624)


DAVID THOMAS OTTENBAKER is a Family Medicine provider in GRAND RAPIDS, United States. His medical specialization is Family Medicine .

1386648624 is NPI number of DAVID THOMAS OTTENBAKER.

DAVID THOMAS OTTENBAKER's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 4301047511. This taxonomy code refers to Family Medicine.

DAVID THOMAS OTTENBAKER has more than 17 years of experience.

DAVID THOMAS OTTENBAKER current practice location address is 100 MICHIGAN ST NE, GRAND RAPIDS, MI.

You can also correspond with DAVID THOMAS OTTENBAKER through mail at mailing address 1445 SHELDON RD, GRAND HAVEN, MI, United States. Mailing address contact number is 616-846-8540.

The enumeration date of DAVID THOMAS OTTENBAKER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.

1386648624 NPI Information

Basic NPI information of DAVID THOMAS OTTENBAKER (NPI 1386648624) is provided below.

Name DAVID THOMAS OTTENBAKER
National Provider Id (NPI) 1386648624
Entity Type Individual
Gender M
Credential MD
Practice Address 100 MICHIGAN ST NE, MC845
GRAND RAPIDS, MI, United States
Practice Telephone
Practice Fax Number
Mailing Address 1445 SHELDON RD , SUITE 201
GRAND HAVEN, MI, United States
Mailing Telephone 616-846-8540
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 24-Jan-2012

DAVID THOMAS OTTENBAKER (NPI 1386648624) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine 4301047511 MI

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
B45936 MEDICARE UPIN (02)
M74460273 MEDICARE PIN (08) MI

DAVID THOMAS OTTENBAKER (NPI 1386648624) Office Location

Office location of DAVID THOMAS OTTENBAKER is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1972669083 DAVID EARL HAMMOND Dermatology 1000 E PARIS AVE SE, SUITE #214
GRAND RAPIDS, MI, United States
01-Jan-2007
1417193087 MOHAMMAD JAVAD POOSTIZADEH Student in an Organized Health Care Education/Training Program 1900 44TH ST SE,
KENTWOOD, MI, United States
01-Jan-2009
1932520384 RYE DONOHUE Rehabilitation Practitioner 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States
01-Jan-2014
1346307428 SCOTT ANTHONY PIROCHTA Dentist 2017 EASTCASTLE DR SE, SUITE B
GRAND RAPIDS, MI, United States
02-Jan-2007
1427115336 OUR HOPE ASSOCIATION Substance Abuse Rehabilitation Facility 324 LYON ST NE,
GRAND RAPIDS, MI, United States
02-Jan-2007
1871650747 PATRICIA ANN MAKSOUDIAN Marriage & Family Therapist 3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI, United States
02-Jan-2007
1457418154 ANGELA K IANITELLI Physician Assistant 2537 MOMENTUM PL,
CHICAGO, IL, United States
02-Jan-2007
1366509002 DAVID SZCZEPANSKI PC Eyewear Supplier (Equipment, not the service) 2021 44TH ST SE STE B,
GRAND RAPIDS, MI, United States
02-Jan-2007
1265599807 STEVEN MCCOY Dentist 1500 44TH ST SE,
GRAND RAPIDS, MI, United States
02-Jan-2007
1437495967 MCKENSAY ELISABETH HEINONEN Nurse Practitioner 200 JEFFERSON AVE SE,
GRAND RAPIDS, MI, United States
03-Jan-2013
1124365671 SPECTRUM HEALTH PRIMARY CARE PARTNERS Eyewear Supplier (Equipment, not the service) 100 MICHIGAN ST NE, MC 845
GRAND RAPIDS, MI, United States
03-Jan-2013
1881015295 SCOTT VERKAIK Social Worker 2456 COIT AVE NE,
GRAND RAPIDS, MI, United States
02-Jan-2014
1306234083 RONALD MCDONALD HOUSE OF WESTERN MICHIGAN, INC. Voluntary or Charitable 1323 CEDAR ST NE,
GRAND RAPIDS, MI, United States
02-Jan-2015
1962910943 JENNIFER ANN GOLE Nurse Practitioner 1900 44TH ST SE,
KENTWOOD, MI, United States
12-Jan-2018
1104398197 MICHELLE LE KALTENBERG Technician, Personal Care Attendant 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States
02-Jan-2019
1275005266 FRANCES JUNE WEBER Technician, Personal Care Attendant 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States
02-Jan-2019
1568440139 SPECTRUM HEALTH KENT COMMUNITY CAMPUS General Acute Care Hospital 750 FULLER AVE NE, MC 160
GRAND RAPIDS, MI, United States
04-Jan-2006
1881672673 THOMAS J BURDO Dentist, General Practice 1100 4 MILE RD NW,
GRAND RAPIDS, MI, United States
03-Jan-2006
1043298771 BRIAN SCOT NYLAAN Dentist, General Practice 5011 PLAINFIELD AVE NE,
GRAND RAPIDS, MI, United States
03-Jan-2006
1316004880 TABITA JACKSON Hearing Instrument Specialist 5000 CHESHIRE LN N,
PLYMOUTH, MN, United States
03-Jan-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1386648624?

1386648624 is the NPI number of DAVID THOMAS OTTENBAKER.

What is the specialty for DAVID THOMAS OTTENBAKER?

The Specialty of DAVID THOMAS OTTENBAKER is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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