Jean Botti Lenk M.D., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35058732 Issued in OH

Legal business name

JEAN BOTTI LENK M.D., INC

Practice address

99 Northline Cir Ste 200
Euclid, OH 44119-1481

Phone

(216) 383-5757

Fax

(216) 383-6565

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hallie B Gasiewski

Title

Medical Biller

Phone

(216) 383-5757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1144400672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR STE 200",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191481",
            "telephone_number": "216-383-5757",
            "fax_number": "216-383-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR STE 200",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191481",
            "telephone_number": "216-383-5757",
            "fax_number": "216-383-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN BOTTI LENK M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GASIEWSKI",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "216-383-5757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35058732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.