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

Russell R Otto, PA

Individual provider Physician Assistant · NPI 1346264215

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.

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Practice location Address checks out

201 Boston Post Rd
Waterford, CT 06385
Phone: (860) 442-0407
Fax: (860) 444-2015
Show map & directions

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 number1346264215
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESOctober 29, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
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

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