DR. DAVID AVERY BOTTGER (NPI# 1013971209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013971209 |
| Entity Type | Individual |
| Full Name | DR. DAVID AVERY BOTTGER |
| Credential | MD |
| Practice Address |
3855 W Chester Pike Suite 230 Newtown Square PA 19073-2304 |
| Practice Telephone | 6103551929 |
| Practice Fax Number | 6103551926 |
| Mailing Telephone | 6103551929 |
| Mailing Fax Number | 6103551926 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD045572E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA BLUE SHIELD | 000612038 | 01 |
| PA | CIGNA | 1046353003 | 01 |
| PA | KEYSTONE HEALTHPLAN | 0440161000 | 01 |
| PA | AETNA HEALTHCARE | 99581 | 01 |
| Street Address |
3855 W CHESTER PIKE SUITE 230 |
| City | NEWTOWN SQUARE |
| State | PA |
| Zip Code | 19073-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830649 | Eric Robert Mankin | Family Medicine | 3855 W Chester Pike, Suite 300, Newtown Square, PA 19073-2304 | 2005-12-01 |
| 1083257588 | Barbara-lee Catania | Counselor | 3855 W Chester Pike, Newtown Square, PA 19073-2304 | 2019-10-28 |
| 1528554458 | Diana Mahoney | Social Worker | 3855 W Chester Pike, Newtown Square, PA 19073-2304 | 2018-07-03 |
| 1245626985 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 3855 W Chester Pike, Suite 340, Newtown Square, PA 19073-2304 | 2015-04-09 |
| 1588054928 | Daniel Shearer | Audiologist | 3855 W Chester Pike, Suite 280, Newtown Square, PA 19073-2304 | 2015-01-23 |
| 1255729695 | David A. Bottger M.d. | Preferred Provider Organization | 3855 W Chester Pike, Suite 230, Newtown Square, PA 19073-2304 | 2015-01-08 |
| 1861895179 | Kimberly Mee-kyung Morrison | Social Worker | 3855 W Chester Pike, Suite 160, Newtown Square, PA 19073-2304 | 2014-09-30 |
| 1336549815 | Jenniffer Zepp | Specialist/Technologist | 3855 W Chester Pike, Suite 340, Newtown Square, PA 19073-2304 | 2014-09-03 |
| 1346588951 | Elizabeth Helen Bland | Social Worker | 3855 W Chester Pike, Main Line Health Center, Newtown Square, PA 19073-2304 | 2013-01-17 |
| 1518211929 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 3855 W Chester Pike, Suite 340, Newtown Square, PA 19073-2304 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434711 | Design Meets Mind, LLC | Clinic/Center | 18 Campus Blvd. Suite 100, Newtown Square, PA 19073 | 2020-07-20 |
| 1437649985 | Main Line Health Integrative and Functional Medicine Services | Clinic/Center | 3803 W Chester Pike Ste 160, Newtown Square, PA 19073 | 2018-05-10 |
| 1013345727 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4891 West Chester Pike, Newtown Square, PA 19073 | 2013-10-16 |
| 1275879967 | Preethi Alexander | Nurse Practitioner | 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 | 2012-12-27 |
| 1467745810 | Brittany Marie Brooks | Student in an Organized Health Care Education/Training Program | 3500 West Chester Pike, Newtowne Square, PA 19073 | 2011-05-18 |
| 1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
| 1700102688 | Robert Francis Rogers | Pathology | 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 | 2010-04-16 |
| 1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1801031331 | Linda Jane Bonsall | Psychologist | 2 Bishop Hollow Road, Newtown Square, PA 19073 | 2008-12-12 |
| Find all providers in zip 19073 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
| 1013311661 | Subbio Center for Plastic Surgery | Plastic Surgery | 3734 W Chester Pike, Newtown Square, PA 19073-3223 | 2014-10-10 |
| 1407029887 | Christian R Subbio | Plastic Surgery | 3734 West Chester Pike, Newtown Square, PA 19073 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
| 1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
| 1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
| 1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
| 1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
| 1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
| 1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
| 1285023952 | Re-nova Plastic Surgery Associates, L.L.C. | Plastic Surgery | 1000 Stonewood Dr Ste 320, Wexford, PA 15090-8386 | 2015-01-17 |
| Find all providers with the same taxonomy | ||||
| City | NEWTOWN SQUARE |
| Zip Code | 19073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.