MR. RANDY KYLE BOTTNER (NPI# 1780673921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780673921 |
| Entity Type | Individual |
| Full Name | MR. RANDY KYLE BOTTNER |
| Credential | MD |
| Practice Address |
6301 Abercorn St Savannah GA 31405-5701 |
| Practice Telephone | 9123528700 |
| Practice Fax Number | 9126506805 |
| Mailing Telephone | 9123528700 |
| Mailing Fax Number | 9126506805 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
035381 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000495855A | 05 | |
| GA | 00495855J | 05 |
| Street Address |
6301 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053807560 | Katherine Nettie Davis | Nurse Practitioner | 6301 Abercorn St, Savannah, GA 31405-5701 | 2018-07-09 |
| 1598278798 | Carmen Lynda Tsiopanas | Nurse Practitioner | 6301 Abercorn St, Savannah, GA 31405 | 2017-11-09 |
| 1952830929 | Emily Picklesimer Garner | Nurse Practitioner | 6301 Abercorn St, Savannah, GA 31405 | 2017-06-05 |
| 1003298688 | Memorial Savannah Cardiology | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2015-06-19 |
| 1598944498 | David W. Newton | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2007-10-26 |
| 1831219872 | William Bryan Hartley | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2007-03-31 |
| 1316092513 | Savannah Cardiology, PC | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2007-01-25 |
| 1205889995 | Memorial Savannah Cardiology | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2006-05-17 |
| 1558351544 | Robert C Rollings | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2005-10-21 |
| 1720077977 | Joseph Craig Harkness | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224948 | Cardio-analysis Inc | Internal Medicine | 52 Runabout Ln, Savannah, GA 31410-1638 | 2005-09-08 |
| 1245694496 | Sj Sc Cardiology LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-13 |
| 1003298688 | Memorial Savannah Cardiology | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2015-06-19 |
| 1437530144 | Memorial Cardiovascular Consultants LLC | Internal Medicine | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2015-06-18 |
| 1619216058 | St. Joseph's Cardiology Group, LLC | Internal Medicine | 11700 Mercy Blvd., Plaza D #6, Savannah, GA 31419 | 2013-02-05 |
| 1598058703 | Akinniran Adedamola Abisogun | Internal Medicine | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2011-05-20 |
| 1750607222 | Gunkel Cardiology Group, LLC | Internal Medicine | 11702 Mercy Blvd, Suite 2d, Savannah, GA 31419-1750 | 2010-04-08 |
| 1740514280 | Steven Roth | Internal Medicine | 310 Eisenhower Dr, Suite 5, Savannah, GA 31406-2632 | 2009-10-01 |
| 1518102219 | William Alexander Crosland | Internal Medicine | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2008-12-09 |
| 1346415353 | Jennifer Lin Yeh | Internal Medicine | 4700 Waters Ave Ste 400, Savannah, GA 31404 | 2008-04-30 |
| Find all providers in SAVANNAH | ||||
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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.