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

Eric Donald Ottenbacher, PA

Individual provider Physician Assistant · NPI 1952308967

Eric Donald Ottenbacher, PA is a Physician Assistant in Cheyenne, Wyoming. Qualified in 2000, 26 years ago. Practices with College Drive Urgent Care LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington and Wyoming.

Years since qualifying
26
Licensed in
WA, WY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone: (317) 635-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA797 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA10004156 (WA)

Record details

NPI number1952308967
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice College Drive Urgent Care Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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