CRAIG ALAN BOTTKE (NPI# 1730186933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730186933 |
Entity Type | Individual |
Full Name | CRAIG ALAN BOTTKE |
Credential | M.D. |
Practice Address |
1401 W Agency Rd West Burlington IA 52655-1659 |
Practice Telephone | 3197684970 |
Mailing Telephone | 3197684970 |
Enumeration Date | 2005-07-01 |
Last Update Date | 2016-01-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | A46291 | CA | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
A46291 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1401 W AGENCY RD |
City | WEST BURLINGTON |
State | IA |
Zip Code | 52655-1659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083234660 | Michelle Lynn Mcdowell | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-23 |
1891314571 | Andrea Ruth Skifstad | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-13 |
1518586676 | Christopher Michael Kipp | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
1831718964 | Ashley Ann Ohern | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
1992324107 | Joyce Ann Wegmann | Speech-Language Pathologist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
1245859339 | Velma Faye Johnson | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
1235610296 | Sara Lynn Ragar | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655 | 2018-08-27 |
1275988347 | Lia Marie Grogan | Physician Assistant | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2016-04-26 |
1881013357 | Jordan Anderson | Dietitian, Registered | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2014-04-14 |
1225454044 | Scott M Gleason | Orthopaedic Surgery | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2014-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
Find all providers in zip 52655 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255531216 | Gavin Daniel O'mahony | Orthopaedic Surgery | 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503-4619 | 2007-07-18 |
1174505499 | James Clyde Johns Jr. | Orthopaedic Surgery | 1953 1st Ave Se, Ste C4, Cedar Valley Hand Surgery, Plc, Cedar Rapids, IA 52402-5328 | 2005-11-14 |
1598757973 | Curtis M Steyers Jr. | Orthopaedic Surgery | 2751 Northgate Dr, Steindler Orthopedic Clinic Plc, Iowa City, IA 52245-9509 | 2005-08-22 |
1316945009 | Melissa Diane Young-szalay | Orthopaedic Surgery | 6001 Westown Parkway, West Des Moines, IA 50266-7702 | 2005-07-07 |
1447575022 | Peter Carl Chimenti | Orthopaedic Surgery | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2010-04-07 |
1932432457 | Capital Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 12499 University Ave, Suite 210, Clive, IA 50325-8281 | 2009-09-16 |
1578705232 | Lindsey Caldwell | Orthopaedic Surgery | 200 Hawkins Dr, University of Iowa Dept of Orthopaedics, Iowa City, IA 52242-1009 | 2009-03-27 |
1396900809 | John Luke Gaffey II | Orthopaedic Surgery | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2008-07-23 |
1912191743 | Clifford Christopher Novak | Orthopaedic Surgery | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2007-09-05 |
1396936621 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 804 Kenyon Rd, Ste 320, Fort Dodge, IA 50501-5742 | 2007-08-01 |
Find all providers with the same taxonomy |
City | WEST BURLINGTON |
Zip Code | 52655 |
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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.