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PETER BOTTAR DO INC NPI 1568643724


NPI Information

NPI: 1568643724
Provider Name: PETER BOTTAR DO INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
50 OAK KNOLL DR.
HUBBARD, OH
ZIP 44425
Phone: (330) 534-9711
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PETER BOTTAR DO INC is a family medicine in Hubbard, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER BOTTAR DO INC NPI is 1568643724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 OAK KNOLL DR.
HUBBARD, OH
ZIP 44425-198
Phone: (330) 534-9711

The provider's authorized official is Peter Bottar .
The authorized official title is President and has the following contact phone number (330) 534-9711.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2996OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19197801MEDICARE PINOHIO
20501915MEDICAIDOHIO
3E00660MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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