Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roger Keith Ottman, MD

Individual provider Emergency Medicine Physician · NPI 1790705283

Dr. Roger Keith Ottman, MD is an Emergency Medicine Physician in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1512 12th Ave Rd
Nampa, ID 83686-6008
Phone: (208) 463-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M-3812 (ID)

Record details

NPI number1790705283
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1100 River Heights Dr, Meridian, ID 83642-5166

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