Organization Active NPI

Alison a. Botek, M.D., P.C.

  • Dermatology Physician
  • Lock Haven, PA
National Provider Identifier
1679676548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD065413L Issued in PA
Legal business name
ALISON A. BOTEK, M.D., P.C.
Practice address
930 Bellefonte Ave
Suite 103
Lock Haven, PA 17745-2754
Phone
(570) 748-7600
Fax
(570) 748-6900
NPI assigned
Sep 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alison A. Botek, M.D.NPI 1750484739
Title
President/Physician
Phone
(570) 748-7600

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
Dermatology Physician 207N00000X MD065413L PA Primary

Addresses

Primary practice location

930 Bellefonte Ave
Suite 103
Lock Haven, PA 17745-2754

Mailing address

930 Bellefonte Ave
Suite 103
Lock Haven, PA 17745-2754
Phone (570) 748-7600

National Provider Directory

National Provider Directory

Locations

930 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 263-5688

930 Bellefonte Ave
Ste 103
Lock Haven, PA 17745
Phone (570) 660-9358

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679676548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BELLEFONTE AVE",
            "address_2": "SUITE 103",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452754",
            "telephone_number": "570-748-7600",
            "fax_number": "570-748-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BELLEFONTE AVE",
            "address_2": "SUITE 103",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452754",
            "telephone_number": "570-748-7600",
            "fax_number": "570-748-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISON A. BOTEK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOTEK",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "570-748-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD065413L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.