Physician Compare National (NPI:1821004144)

HEALTHCARE PROVIDER: RICHARD ALAN OTT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821004144
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709851496
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050315001201
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OTT
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	ALAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1211 W LA PALMA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 608
	Group Practice or individual's line 2 address
City	ANAHEIM
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	928012813
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050226
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AHMC ANAHEIM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050746
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORANGE COUNTY GLOBAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y