IndividualActive
Jason Otto, MPAS
NPI 1558697177 · Medical Physician Assistant · Sheridan, WY
Provider details
- NPI number
- 1558697177
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPAS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
61 S Gould St
Sheridan, WY 82801-6304
Phone: (307) 675-2650
Fax: (307) 675-2651
Approximate (ZIP-level) locationGet directions
Mailing address
1333 W 5th St, Ste 110
Sheridan, WY 82801-2705
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.