Christopher Bottino, M.D
Individual provider Active NPI Anesthesiology Physician · Waterbury, CT
NPI 1144260290 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1144260290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 033646 (CT)
- Practice address
- 140 Grandview Ave
Waterbury, CT 06708-2505 - Phone
- (203) 757-7000
- Fax
- (203) 591-1473
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110304000116 | CT | Practitioner - Anesthesiology | 4981886488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033646 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Middletown, P.C. | Anesthesiology | Current |
Accepting new patients |
| Waterbury Anesthesiology Assoc. Inc | Anesthesiology | Past | Accepting new patients |
Locations
73 Sand Pit Rd
Danbury, CT 06810
Phone (203) 743-2400
145 S Main St
Middletown, CT 06457
Phone (860) 346-5889
410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262
901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967
Interoperability endpoints
- cbottino@direct.wtbyhosp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 033646 | CT | Yes |
Addresses
Primary practice location
140 Grandview Ave
Waterbury, CT 06708-2505
Mailing address
77 Plumb Brook Rd
Woodbury, CT 06798-2116
Phone (203) 226-6251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001336462 | Medicaid | CT |
Other providers in Waterbury, CT
- Henry J Borkowski
- Nicole Borusiewicz
- Carolina Ioana Borz Baba
- Angela Lynn Bosjolie
- Raymond M Bosworth
- Valerie Boucard
- Tricia Bouchard
- Kathleen M Boucher
- Alyssa Boudrieau
- Briana Boulerice
All providers in Waterbury, CT · Anesthesiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.