Mark Risen Otstot
Mark Risen Otstot is a Physician Assistant in Roanoke, Virginia. Qualified in 2025, 1 year ago. Licensed in Virginia.
- Years since qualifying
- 1
- Licensed in
- VA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1906 Belleview Ave SERoanoke, VA 24014-1838
Phone: (540) 981-7000
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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 0110011626 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1225998271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 13, 2025 |
| Last updated in NPPES | March 25, 2026 |
| Certification date | March 25, 2026 |
| Mailing address | 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Roanoke
-
Genevieve Ann O'Donnell
1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 981-7000
-
Teagan Oliver
101 Elm Ave SE, Roanoke, VA 24013-2222 · (540) 985-8483
-
Eric Olsen
2331 Franklin Rd SW, Roanoke, VA 24014-1111 · (540) 224-5170
-
Amy J Ostermann, PA-C
1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 981-7000
-
Jaclyn Park
1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 981-7000
-
Achal Patel
3 Riverside Cir, Roanoke, VA 24016-4955 · (540) 224-5170
-
Mr. Samuel Pearce III, PA-C
1906 Belleview Ave SE, Roanoke, VA 24014 · (540) 981-7000
-
Mr. Jason Andrew Peery, PA-C
2331 Franklin Rd SW, Roanoke, VA 24014-1111 · (540) 510-6200