JAY C BOTT


Address: 177 S 240 W, Orem, UT 84058-3052
Phone: 8013198204

JAY C BOTT (NPI# 1164524864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164524864
Entity Type Individual
Full Name JAY C BOTT
Credential MD
Practice Address 177 S 240 W
Orem
UT 84058-3052
Practice Telephone 8013198204
Mailing Telephone 8013198204
Enumeration Date 2006-09-02
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
1636731205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT EMIA 870281028BO1 01
UT IHC 107006662101 01
UT DMBA 4042 01
UT UNITED HEALTHCARE 30-00028 01
UT ALTIUS QM0000009169 01
UT PALMETTO 110037858 01
UT PEHP 14054 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1055 N 500 W, Suite 202, Provo, UT 846043305 8013742367 8014298015

Office Location

Street Address 177 S 240 W
City OREM
State UT
Zip Code 84058-3052

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NPI Name Taxonomy Address Enumeration
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1407368509 Kaitlyn Winget Specialist/Technologist 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 2017-10-30
1871010454 Linda S George Behavior Technician 1875 S Geneva Road, Orem, UT 84058 2017-08-24
1811435951 Rhea V. Perry Massage Therapist 35 S 400 W, Orem, UT 84058 2017-02-09
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881123172 Scott Marriner Browning Internal Medicine 2318 E Field Rose Dr, Salt Lake City, UT 84121-1500 2017-06-08
1356745137 University of Utah Adult Services Internal Medicine 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 2014-10-22
1982049227 Bryan D Huber Internal Medicine 8th Avenue & C Street E8, Salt Lake City, UT 84143-3403 2013-04-30
1851631139 Central Utah Clinic, P.C. Internal Medicine 2019 E Riverside Dr, Suite A200, St George, UT 84790-8134 2013-02-22
1285929430 Brandt L Esplin Internal Medicine 1055 N 500 W Ste 202, Bldg C, Provo, UT 84604-8460 2011-06-16
1457664005 Sabarinath Venniyil Radhakrishna Internal Medicine 2000 Circle of Hope, Suite 2100, Huntsman Cancer Institute, Salt Lake City, UT 84112 2010-07-23
1427273705 Utah Hematology Oncology PC Internal Medicine 4403 Harrison Blvd Ste 1685, Ogden, UT 84403-3274 2007-04-13
1225164114 Finn Bo Petersen Internal Medicine E8 Lds Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143-0001 2007-02-26
1124172697 Justin A Call Internal Medicine 3592 W 9000 S, Ste 200, West Jordan, UT 84088-8812 2007-01-22
1417995911 Wendy A Breyer Internal Medicine 5171 S Cottonwood St Ste 610, Murray, UT 84107-5704 2006-06-04
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Competitor

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City OREM
Zip Code 84058

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Dataset Information

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.

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