Joseph J Botta (NPI# 1831105360, PAC ID# 6709890908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1831105360 |
| PAC ID by PECOS | 6709890908 |
| Professional Enrollment ID | I20060126000611 |
| Full Name | Joseph J Botta |
| Organization Legal Name | JOSEPH BOTTA MD AND ASSOCIATES LLC |
| Address |
24 S Main St Putnam CT 06260-1906 |
| Phone Number | 8603159026 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365508306 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070003 | DAY KIMBALL HOSPITAL |
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 24 S Main St, Putnam, CT 06260-1906 | 8603159026 | JOSEPH BOTTA MD AND ASSOCIATES LLC |
| Organization Legal Name | JOSEPH BOTTA MD AND ASSOCIATES LLC |
| Physicians | 1 |
| Street Address |
24 S MAIN ST |
| City | PUTNAM |
| State | CT |
| Zip | 06260-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Willoughby | Allergy/immunology | 24 S Main St, Liberty, MO 64068-2323 | |
| Kendra S Ulicki | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 24 S Main St, Community Health Center of Dayton, Dayton, IA 50530-7698 |
| Aaron J Patz | Chiropractic | 24 S Main St, Randolph, MA 02368-4821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noreen A Wallace | Occupational Therapy | 174 Providence St, Putnam, CT 06260-1512 | |
| Gregory Martin Haney | Physical Therapy | 82 Providence St, Putnam, CT 06260-1530 | |
| Frederick A Barks Jr. | Chiropractic | 245 School St, Putnam, CT 06260-1621 | |
| Janet Cutting | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Lorna Kay Murdock | Nurse Practitioner | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Jane P Whitehead | Qualified Audiologist | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Christopher Charon | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Stephen R Kurland | Otolaryngology | Ear, Nose and Throat Associates of Worcester, Inc. | 145 Pomfret St, Putnam, CT 06260-1803 |
| Michael H Ellsworth | Orthopedic Surgery | Orthopaedic Associates of Northeastern Connecticut, L.L.C. | 255 Pomfret St, Putnam, CT 06260-1835 |
| Raja Fattaleh | Family Medicine | 353 Pomfret St, Putnam, CT 06260-1835 | |
| Find all physicians in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | PUTNAM + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Joseph J Botta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.