Randall Jason Otto is a Fenton, Missouri based male orthopedic surgeon with 19 years of experience in Orthopedic Surgery. He completed his graduation from University Of Missouri, Kansas City, School Of Medicine in 2005. He is also affiliated with hospitals like Ssm St Clare Health Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Randall Jason Otto is 2012011162 for Orthopedic Surgery in Missouri.
Randall Jason Otto is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Randall Jason Otto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
M.D.
Experience:
19+ years
Medical School Attended:
University Of Missouri, Kansas City, School Of Medicine
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3173792801
Enrollment ID:
I20120813000638
NPI Number:
1841494689
NPI Enumeration Date:
14 Jun, 2007
NPI Last Update On:
24 Feb, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Jason Otto are as mentioned below.
License Number
Specialization
State
Status
2012011162
Orthopedic Surgery
Missouri
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ssm St Clare Health Center (260081)
Fenton, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Randall Jason Otto is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Louis University (8022921964)
444
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall Jason Otto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
136637
Other
Missouri
HEALTHCARE USA
4258558
Other
Missouri
CIGNA
501357701
Medicaid
Missouri
122950063
Other
Missouri
MEDICARE PTAN
A82171
Other
Missouri
HEALTHLINK
771091
Other
Missouri
ANTHEM BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1008 S Spring Ave Fl 1, Saint Louis, Missouri
Zip:
63110-2520
Phone Number:
314-977-5350
Fax Number:
314-977-1629
Patients can reach Randall Jason Otto at 1011 Bowles Ave Ste 400, Fenton, Missouri or can call to book an appointment on 314-977-7200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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