National Provider Identifier Database

MARY A OTT, MD – NPI #1386751881
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

MARY A OTT, MD
1701 N SENATE AVE
DEPT OF PEDIATRICS
INDIANAPOLIS, IN46202-5306
Phone: 317-962-8067
Fax: 317-962-3796
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MARY A OTT

NPI Number 1386751881
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 12/22/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01058102
  • IN Medicaid: 200454610
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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