Active NPI
Robert M Botnick, PA
- Physician Assistant
- Thornton, CO
National Provider Identifier
1275620155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 44
- Practice address
- 9195 Grant Street #120
North Denver Orthopedic Specialists
Thornton, CO 80229-4386 - Phone
- (303) 453-2997
- Fax
- (303) 453-2998
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 44 | CO | Primary |
Addresses
Primary practice location
9195 Grant Street #120
North Denver Orthopedic Specialists
Thornton, CO 80229-4386
Mailing address
4900 S Monaco St
Ste 210
Denver, CO 80237-3486
Phone (303) 584-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07440001 | Medicaid | CO |
Other names 1
- Mr. Robin Marc Botnick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Hospitalists of Centura, PC | Past | Accepting new patients | |
| Orthopedic Surgery & Sports Medicine Specialist | Past | Accepting new patients | |
| Inpatient Consultants of Colorado PC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Thornton, CO
- NPI 1689889966
-
- Hospitalist Physician
- Parker, CO
- NPI 1497057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1275620155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "STE 210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-584-8000",
"fax_number": "303-584-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 GRANT STREET #120",
"address_2": "NORTH DENVER ORTHOPEDIC SPECIALISTS",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "303-453-2997",
"fax_number": "303-453-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTNICK",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "44",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07440001",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "BOTNICK",
"middle_name": "MARC",
"prefix": "MR.",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.