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

Tia Michelle Ott, SFA

Individual provider Surgical Assistant · NPI 1528843307

Tia Michelle Ott, SFA is a Surgical Assistant in Cumberland, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2023

Practice location Address checks out

12502 Willowbrook Rd Ste 500
Cumberland, MD 21502-6572
Phone: (301) 722-8847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12500 Willowbrook Rd, Cumberland, MD 21502-6393 — (240) 964-3200

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 209275 (MD)

Record details

NPI number1528843307
Entity typeIndividual (Type 1)
GenderFemale
Credentials SFA
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address12405 Butler Dr Nw, Lavale, MD 21502-6027

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