Organization Active NPI

Peter Bottar DO Inc

  • Family Medicine Physician
  • Hubbard, OH
National Provider Identifier
1568643724
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2996 Issued in OH
Legal business name
PETER BOTTAR DO INC
Practice address
50 Oak Knoll Dr.
Hubbard, OH 44425-2198
Phone
(330) 534-9711
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Peter Bottar, DONPI 1033187075
Title
President
Phone
(330) 534-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2996 OH Primary

Addresses

Primary practice location

50 Oak Knoll Dr.
Hubbard, OH 44425-2198

Mailing address

50 Oak Knoll Dr.
Hubbard, OH 44425-2198
Phone (330) 534-9711

National Provider Directory

National Provider Directory

Locations

50 Oak Knoll Dr
Hubbard, OH 44425
Phone (330) 534-9711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1568643724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OAK KNOLL DR.",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444252198",
            "telephone_number": "330-534-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 OAK KNOLL DR.",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444252198",
            "telephone_number": "330-534-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BOTTAR DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BOTTAR",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-534-9711",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.