Russell R Otto, PA
Russell R Otto, PA is a Physician Assistant in Waterford, Connecticut. Qualified in 1987, 39 years ago. Practices with Ear, Nose and Throat Associates of Southeastern Connecticut, PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 39
- Licensed in
- CT
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
201 Boston Post RdWaterford, CT 06385
Phone: (860) 442-0407
Fax: (860) 444-2015
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2 Broad Street Plz, Glens Falls, NY 12801-4363 — (518) 926-1380
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 004505 (CT) |
|---|
Record details
| NPI number | 1346264215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 26, 2006 |
| Last updated in NPPES | October 29, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Group practice | Ear,Nose And Throat Associates Of Southeastern Connecticut, P.C. — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 635 |
|---|---|
| Services billed | 1,611 |
| Average patient age | 78 |
Payments from drug and device companies, 2025
| Food and Beverage | $296 |
|---|
Practises at
- Lawrence & Memorial Hospital Hospital · New London, CT · listed as Lawrence and Memorial Hospital, Inc
Colleagues at Ear, Nose and Throat Associates of Southeastern Connecticut, PC
- David S Boisoneau, MD Otolaryngology Physician · Waterford, CT
- Dr. William Thomas Culviner, MD Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Willimantic, CT
- Ariana Q De Labry, AUD Audiologist · Providence, RI
- Frank R. Dellacono, MD Otolaryngology Physician · Waterford, CT
- MS. Bethany Bonnano Kelly, MA, CCC-A Audiologist · Waterford, CT
- Mrs. Christine Kendall, MA Audiologist · Mystic, CT
- Khalil Keefe Rahman Student in an Organized Health Care Education/Training Program · Waterford, CT
- Richard Lord Vincent, MD Otolaryngology Physician · Waterford, CT
Other providers in Waterford
-
Susan K Schroeder, PA
196 Pkwy S Ste 201, Waterford, CT 06385-1219 · (860) 440-0688
-
Amanda Siminerio, PA-C
196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 · (860) 257-4131
-
Christopher D. Smith, PA
196 Pkwy S Ste 201, Waterford, CT 06385-1219 · (860) 440-0688
-
Julie Zito, PA
196 Parkway S SUITE303, Waterford, CT 06385-1234 · (860) 443-4455