Beth Ann Omundsen-Ott
Family Doctor - Adult Medicine
1330 Amherst St Ste C
Winchester
, Virginia 22601-3000
Beth Ann Omundsen-Ott
Family Doctor - Adult Medicine
1330 Amherst St Ste C
Winchester
, Virginia 22601-3000
(540) 722-6601
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Beth Ann Omundsen-Ott
- 1330 Amherst St Ste C
- Winchester, VA
- Zip : 22601-3000
- Fax : (540) 722-6601
- Phone : (540) 722-2369
Second Address
- Beth Ann Omundsen-Ott
- 1330 Amherst St Ste C
- Winchester, VA
- Zip : 22601-3000
- Fax : (540) 722-6601
- Phone : (540) 722-2369
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Is Beth Ann Omundsen-Ott a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 0101044204 | VA |
National Provider Identifier
| NPI | 1356311161 |
|---|---|
| Provider Name | Beth Ann Omundsen-Ott |
| First Address | Winchester, VA 22601-3000 |
| Second Address | Winchester, VA 22601-3000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 28/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005627915 | (05) | VA |
| E75667 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.