JOHNA MARIE BOTT


Address: 2125 State St Ste 5, New Albany, IN 47150-4901
Phone: 5022220028

JOHNA MARIE BOTT (NPI# 1477865145) 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) 1477865145
Entity Type Individual
Full Name JOHNA MARIE BOTT
Credential PA-C
Practice Address 2125 State St Ste 5
New Albany
IN 47150-4901
Mailing Address 1006 New Moody Ln
La Grange
KY 40031-9122
Practice Telephone 5022220028
Practice Fax Number 5022220029
Mailing Telephone 5022220028
Mailing Fax Number 5022220029
Enumeration Date 2010-07-09
Last Update Date 2019-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA1562 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100130280 05

Office Location

Street Address 2125 STATE ST STE 5
City NEW ALBANY
State IN
Zip Code 47150-4901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396385050 Essential Pediatrics Physical Therapist 1614 Slate Run Road, New Albany, IN 47150 2020-01-10
1871075234 Katie Lyn Vincent Speech-Language Pathologist 845 Park Place, New Albany, IN 47150 2018-09-02
1326528811 Donna Casey Laduke Respiratory Therapist, Registered Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 2018-08-15
1003307232 Shelby Paige Buffin Social Worker 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 2018-05-23
1104315902 Whitney Nicole Malloy Physician Assistant 2108 State Street, New Albany, IN 47150 2018-05-07
1942728472 Cleanse Clinic Jeffersonville LLC Psychiatry & Neurology 2818 Grant Line Rd Ste 2, New Albany, IN 47150 2017-09-05
1881110765 Kristy Marie Delaney Social Worker 1144 Creekview Circle, New Albany, IN 47150 2017-08-22
1891217030 Sarah H. Wilson Physician Assistant 1919 State St Ste 362, New Albany, IN 47150 2017-07-10
1861939290 Lauren Brenneman Pollock Audiologist 3211 Grant Line Rd St. #37, New Albany, IN 47150 2017-01-24
1861850414 Kiley Madaleno Speech-Language Pathologist 4915 Charlestown Road, New Albany, IN 47150 2016-02-10
Find all providers in zip 47150

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417555996 Kathleen Wiles Physician Assistant 3805 Pine Creek Cir, New Albany, IN 47150-2057 2020-10-15
1225670367 Sarah Rousakis Physician Assistant 825 University Woods Dr Ste 8, New Albany, IN 47150-2427 2019-10-10
1801454160 Jordan Freels Physician Assistant 6611 Albany Pond, New Albany, OH 43054-9260 2019-06-03
1104315902 Whitney Nicole Malloy Physician Assistant 2108 State Street, New Albany, IN 47150 2018-05-07
1528575404 James Christopher Georgiades Physician Assistant 4140 Palmer Park Cir E Apt 203, New Albany, OH 43054-1176 2018-01-02
1891217030 Sarah H. Wilson Physician Assistant 1919 State St Ste 362, New Albany, IN 47150 2017-07-10
1104231695 Kyle Kimbrough Physician Assistant 1568 Hwy 178 E, New Albany, MS 38652 2014-06-24
1992904148 Michael A Malfatto Physician Assistant 7277 Smiths Mill Rd Ste 200, New Albany, OH 43054-8195 2007-07-17
1568070274 Pain Management Centers of America, Psc Physician Assistant 2201 Green Valley Rd, New Albany, IN 47150-4647 2020-07-20
1538782966 Chelsea O'brien Mcdowell Physician Assistant 2125 State St Ste 6, New Albany, IN 47150-4972 2020-05-20
Find all providers in NEW ALBANY

Competitor

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City NEW ALBANY
Zip Code 47150

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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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