Bott PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOTT PC

Practice address

11810 Nicholas St Ste 101
Omaha, NE 68154-4414

Phone

(402) 779-8400

Fax

(402) 779-8401

NPI assigned

Sep 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew S Bott, MDNPI 1982613790

Title

President

Phone

(402) 779-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew S. Bott, MD

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1982613790
  Medicare reassignment Authorized official
• Joel R Bessmer, MD

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1164489506
  NPD (past)
• M. Suzan Crabb, M.D.

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1386741981
  NPD (past)
• Michelle Dianne Kentfield, PA-C

  • Medical Physician Assistant
  • Omaha, NE
  • NPI 1982375523
  NPD (past)
• Cassie L Krause, APRN

  • Primary Care Nurse Practitioner
  • Omaha, NE
  • NPI 1487915559
  NPD (past)
• Randall Scott Lienemann, PHYSICIAN ASST PA C

  • Physician Assistant
  • Omaha, NE
  • NPI 1629025879
  NPD (past)
• Jyoti S Mahapatra, MD

  • Emergency Medicine Physician
  • Papillion, NE
  • NPI 1427074186
  NPD (past)
• Donald Paul Scarborough, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1720186109
  NPD (past)
• Robert J Schwab, MD

  • Internal Medicine Physician
  • Boys Town, NE
  • NPI 1043261092
  NPD (past)
• David P. Stearnes, D.O.

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1609910397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1003284050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544414",
            "telephone_number": "402-779-8400",
            "fax_number": "402-779-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 NICHOLAS ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544414",
            "telephone_number": "402-779-8400",
            "fax_number": "402-779-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "BOTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-779-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyakaka Both
• Staci Bothel
• Angela Bothwell, RN
• Mary L Botkin, LIMHP
• Lauren B Botsford, APRN-WHNP
• Kristine L Bott, MD
• Matthew S. Bott, MD
• Stephanie Bottorf
• Michelle Rae Bottrell, APRN-BC
• Lisa Bottsford-Tuell

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.