Louis D Bottegal, Crna, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LOUIS D BOTTEGAL, CRNA, PC

Practice address

410 5TH Street Ext
Avonmore, PA 15618-9776

Phone

(412) 680-8740

Fax

(412) 346-0227

NPI assigned

Oct 2, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis D Bottegal, CRNA

Title

President and Ceo

Phone

(412) 680-8740

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1730699000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 5TH STREET EXT",
            "city": "AVONMORE",
            "state": "PA",
            "postal_code": "156189776",
            "telephone_number": "412-680-8740",
            "fax_number": "412-346-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 5TH STREET EXT",
            "city": "AVONMORE",
            "state": "PA",
            "postal_code": "156189776",
            "telephone_number": "412-680-8740",
            "fax_number": "412-346-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS D BOTTEGAL, CRNA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "BOTTEGAL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "412-680-8740",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Avonmore, PA
• Providers in Avonmore, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.