RAYMOND J. OTTO M.D. – NPI #1063455301
Emergency Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Health Care Provider Taxonomy Code for Emergency Medicine

RAYMOND OTTO is a physician located in BOISE, ID. NPPES has assigned the NPI number 1063455301 to RAYMOND OTTO on June 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0005X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 8 years ago on Aug 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAYMOND OTTO below.

NPI Profile for
RAYMOND J. OTTO

NPI Number
1063455301
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RAYMOND J. OTTO
Credentials
M.D.
Primary location
600 ROBBINS RD
BOISE, ID 83702
Phone: (208) 489-5800 Fax:
Mailing address
PO BOX 165
BOISE, ID 83701-0165
Phone: (208) 489-5800 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for RAYMOND OTTO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID807447900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine (Primary)		 ID M-9590
207P00000X
- Emergency Medicine		 ID M-9590

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 1992
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RAYMOND OTTO is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKE'S MCCALL
      1000 STATE STREET
      MCCALL, ID 83638
    • ST LUKE'S NAMPA MEDICAL CENTER
      9850 WEST ST LUKES DRIVE
      NAMPA, ID 83687
    • ST LUKE'S REGIONAL MEDICAL CENTER
      190 EAST BANNOCK STREET
      BOISE, ID 83712
  • HOME HEALTH AGENCY
    • HORIZON HOME HEALTH
      63 WEST WILLOWBROOK DR
      MERIDIAN, ID 83646
    • ST LUKES HOME CARE AND HOSPICE
      3330 E LOUISE DR SUITE 400
      MERIDIAN, ID 83642

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