MR. VINCENT ANTHONY BOTTARO (NPI# 1811282981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811282981 |
| Entity Type | Individual |
| Full Name | MR. VINCENT ANTHONY BOTTARO |
| Credential | PA-C |
| Practice Address |
4310 Londonderry Rd Suite 202 Harrisburg PA 17109-5300 |
| Mailing Address |
307 S Front St First Floor Harrisburg PA 17104-1621 |
| Practice Telephone | 7177912520 |
| Practice Fax Number | 7179204361 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA054914 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4310 LONDONDERRY RD SUITE 202 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164454 | Michael Cordas Jr. | Family Medicine | 4310 Londonderry Rd, 1st Floor, Suite 1-b, Harrisburg, PA 17109 | 2005-06-16 |
| 1659994671 | Jessica Rusbatch | Clinical Neuropsychologist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2020-05-26 |
| 1477031938 | Alyssa K Wiekrykas | Physical Therapist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2018-08-06 |
| 1699287490 | Cierstin Dixon | Speech-Language Pathologist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2017-11-02 |
| 1073903621 | Anthony L Calvello Iv | Physical Therapist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2015-02-03 |
| 1588063614 | Cayleigh M Minter | Nurse Practitioner | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2014-08-14 |
| 1821408261 | Pinnacle Health Medical Services | Orthopaedic Surgery | 4310 Londonderry Rd, First Floor, Suite 1-b, Harrisburg, PA 17109-5300 | 2014-05-07 |
| 1518220086 | Michael F Lupinacci Md, PC | Physical Medicine & Rehabilitation | 4310 Londonderry Rd, Suite 106, Harrisburg, PA 17109-5300 | 2012-06-20 |
| 1942521125 | Timothy B Brown | Surgery | 4310 Londonderry Rd, Ste 101, Harrisburg, PA 17109-5300 | 2010-06-22 |
| 1407087687 | Denise L Dejohn | Nurse Practitioner | 4310 Londonderry Rd, Suite 109, Harrisburg, PA 17109-5300 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613589 | Jessica Ann Hoffman | Physician Assistant | 675 Gregs Dr Apt 78, Harrisburg, PA 17111-5545 | 2020-06-09 |
| 1881253912 | Jacob Moses Doan | Physician Assistant | 815 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2019-06-12 |
| 1376058594 | Cara Kraus | Physician Assistant | 129 Curvin Dr, Harrisburg, PA 17112-2964 | 2017-12-11 |
| 1497150288 | Ronald Wayne Jones | Physician Assistant | 3827 Over Dr, Harrisburg, PA 17109-1230 | 2014-10-23 |
| 1831447960 | Heather Lynn Mychak | Physician Assistant | 2201 Forest Hills Dr Ste 7, Harrisburg, PA 17112-1089 | 2012-08-21 |
| 1659696714 | Daniel J Church | Physician Assistant | 20 Capital Dr, Harrisburg, PA 17110-9446 | 2010-04-01 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1619990603 | Sanford Clinic | Physician Assistant | 410 N Cliff Ave, Harrisburg, SD 57032-2253 | 2006-07-25 |
| 1326009812 | Thomas W. Ladley | Physician Assistant | 6301 Grayson Rd, Harrisburg, PA 17111-3331 | 2006-04-01 |
| 1770580185 | Kimberly Anne Walker | Physician Assistant | 1199 Colonial Rd, Harrisburg, PA 17112-1900 | 2005-06-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
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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.