MARTINE ELYSE BOTTALICO (NPI# 1144847369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144847369 |
| Entity Type | Individual |
| Full Name | MARTINE ELYSE BOTTALICO |
| Practice Address |
10215 Fernwood Rd Ste 506 Bethesda MD 20817-1184 |
| Practice Telephone | 3015301010 |
| Mailing Telephone | 2404234615 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Monticello Ave, Lynchburg, VA 245015616 | 2404234615 |
| Street Address |
10215 FERNWOOD RD STE 506 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437109907 | Joseph Raymond O'brien | Orthopaedic Surgery | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817 | 2006-05-12 |
| 1265031835 | Wasit Jimmy Chuasiriporn | Physical Medicine & Rehabilitation | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2020-10-23 |
| 1922638592 | Diane Campanaro | Physical Therapy Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2020-01-22 |
| 1124658869 | Joshua Cheng | Physical Therapy Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2020-01-22 |
| 1275181521 | James Francis Norris | Physical Therapist | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2019-08-29 |
| 1629635511 | Meghan Elizabeth Garanich | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2019-05-26 |
| 1982167805 | Helen Hsu | Physical Therapist | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2019-04-08 |
| 1366900797 | Nicole Annmarie Casale | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2019-03-05 |
| 1740752401 | Natasha Kumar | Physical Therapist | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2018-12-19 |
| 1952882938 | Maria G Balarezo | Physical Therapist | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306367750 | Charlotte Payne | Physician Assistant | 9000 Rockville Pike Bldg B2l324a, Bethesda, MD 20892-0001 | 2017-07-06 |
| 1558510909 | Theresa Donohue Jerussi | Physician Assistant | 10 Center Drive Msc 1202, Building 10, Crc Rm 3-5272, Bethesda, MD 20892-0001 | 2008-09-10 |
| 1073784559 | Kerry Ryan | Physician Assistant | Building 10, Rm 12n226, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-03-12 |
| 1053511576 | Julia C Friend | Physician Assistant | Nci National Institutes of Health 10 Center Dr, Bldg 10/crc 2w-5760, Bethesda, MD 20892-0001 | 2007-07-23 |
| 1043420649 | Kelli Karacki | Physician Assistant | Bg 10 Rm 12n240 10 Center Dr, Bethesda, MD 20892-0001 | 2007-05-23 |
| 1932254356 | Justin Rodante | Physician Assistant | 10 Center Drive Building 10 Crc Msc 1476, Room 5-3140, Bethesda, MD 20892-0001 | 2007-01-24 |
| 1972667061 | Tiffani Nicole Farrey | Physician Assistant | 10 Clinical Center Drive, Bldg 10 Rm 5-1471, Bethesda, MD 20892 | 2006-12-21 |
| 1033286372 | Jose Carreon Balinas | Physician Assistant | Walter Reed National Military Medical Center, Bldg 7, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 | 2006-11-30 |
| 1174567283 | Narda Davis | Physician Assistant | 8901 Wisonsin Ave, Bethesda, MD 20889-0001 | 2006-06-16 |
| 1639146152 | Allison Ann Beck | Physician Assistant | 9000 Rockville Pike Msc 1912 Building 10, Rm 5-2440, Bethesda, MD 20892-1705 | 2006-03-02 |
| Find all providers in BETHESDA | ||||
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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.