Eric Donald Ottenbacher, PA

Physician Assistant · Cheyenne, WY

Individual Active NPI

NPI number 1952308967

Practice location

2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone
(317) 635-3500

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NPI record

NPI
1952308967
Entity type
Individual (Type 1)
Enumeration date
July 5, 2005
Last updated
July 31, 2025
Certified
July 31, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA797 WY
Physician Assistant 363A00000X PA10004156 WA

About Eric Ottenbacher

Eric Donald Ottenbacher, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2030 Bluegrass Cir, Cheyenne, WY 82009-7328. The NPI number 1952308967 was assigned on July 5, 2005 and the record was last updated on July 31, 2025.

Eric Ottenbacher lists 2 licenses in the registry: #PA797 (WY) for Physician Assistant; #PA10004156 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric Donald Ottenbacher, PA?

The NPI number is 1952308967.

What is the phone number of Eric Ottenbacher?

The phone number listed for the practice location is (317) 635-3500.

Where is Eric Ottenbacher located?

2030 Bluegrass Cir, Cheyenne, WY 82009-7328.

What is the taxonomy code for Eric Ottenbacher?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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