TERRI LYNN BOTT-KOTHARI


Address: 5950 Metro Way Sw, Wyoming, MI 49519-9514
Phone: 6162528160

TERRI LYNN BOTT-KOTHARI (NPI# 1558386607) 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) 1558386607
Entity Type Individual
Full Name TERRI LYNN BOTT-KOTHARI
Other Name TERRI LYNN BOTT
Credential MD
Practice Address 5950 Metro Way Sw
Wyoming
MI 49519-9514
Mailing Address 3621 S State St
700 Kms Place
Ann Arbor
MI 48108
Practice Telephone 6162528160
Mailing Telephone 7349362047
Enumeration Date 2006-07-12
Last Update Date 2011-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
4301077359 MI Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
077359 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4284064 05
MI RAILROAD MEDICARE 920006063 01

Office Location

Street Address 5950 METRO WAY SW
City WYOMING
State MI
Zip Code 49519-9514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316948771 Michael H Zakem Internal Medicine 5950 Metro Way Sw, Wyoming, MI 49519-9514 2005-08-09
1386011351 Cheryl Ann Verstrate Nurse Practitioner 5950 Metro Way Sw, Wyoming, MI 49519-9514 2015-08-26
1578806352 Ahmet Sacit Tunceroglu Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2013-03-31
1205196458 Emily Suzanne Mathew Nurse Practitioner 5950 Metro Way Sw, Wyoming, MI 49519-9514 2012-05-22
1467728428 Derek Paul Bergsma Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2012-03-23
1215220793 Rebecca Ann Whitman Boyd Pharmacist 5950 Metro Way Sw, Wyoming, MI 49519-9514 2011-05-17
1598077554 Metropolitan Hospital Pharmacy 5950 Metro Way Sw, Wyoming, MI 49519-9514 2010-07-07
1104074723 West Michigan Radiation Oncology Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2008-09-08
1487813200 Metropolitan Hospital Psychologist 5950 Metro Way Sw, Wyoming, MI 49519 2008-06-06
1346443769 Stephanie A. Dublis Internal Medicine 5950 Metro Way Sw, Wyoming, MI 49519-9514 2007-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1063858769 Sumit Sean Sood Radiology 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 2013-05-21
1578806352 Ahmet Sacit Tunceroglu Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2013-03-31
1467728428 Derek Paul Bergsma Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2012-03-23
1104074723 West Michigan Radiation Oncology Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2008-09-08
1912922824 Julie M Forstner Radiology 5950 Metro Way Sw, Wyoming, MI 49519-9514 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1811444235 Gwendolyn Henderson Parker Radiology 48165 Liberty Dr, Shelby Twp, MI 48315-4061 2016-09-01
1376097733 Munson Medical Center Radiology 217 S Madison Avenue, Traverse City, MI 49684-2320 2016-08-15
1972985737 Andrew Thompson Radiology 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 2015-06-29
1932533692 Compass Healthcare, Plc Radiology 2175 Coolidge Rd, East Lansing, MI 48823-1379 2013-08-29
1083903256 Omar Hesham Gayar Radiology 4100 Beecher Rd Ste A, Flint, MI 48532-3661 2011-03-28
1881906519 Sanath Kumar Radiology 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 2010-07-10
1376772574 Matthew W Packard Radiology 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 2009-07-08
1053575118 North Macomb Mrt Center LLC Radiology 17900 23 Mile Road, Macomb Twp, MI 48042 2008-07-17
1699970525 Thomas Pence Boike Radiology 6770 Dixie Hwy Ste 106, Clarkston, MI 48346-2088 2007-06-20
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Competitor

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City WYOMING
Zip Code 49519

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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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