Individual
RANDALL JASON OTTO
Active
Individual
RANDALL JASON OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2012011162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122950063
MEDICARE PTAN
MO
01
—
136637
HEALTHCARE USA
MO
01
—
4258558
CIGNA
MO
05
—
501357701
—
MO
01
—
771091
ANTHEM BLUE CROSS BLUE SHIELD
MO
01
—
A82171
HEALTHLINK
MO
Enumeration date
06/14/2007
Last updated
02/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up