Mitchell David Botney, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

R5G45 Issued in MO

Practice address

3009 N Ballas Rd
256C
Saint Louis, MO 63131-2322

Phone

(314) 692-2228

Fax

(314) 692-2017

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mbotney164615@direct.carenet.org

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.

• Whole Health Therapy Center, LLC

  • Physical Therapy Assistant
  • Saint Louis, MO
  • NPI 1336227511
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1780650549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS",
            "address_2": "256C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-692-2788",
            "fax_number": "314-692-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "256C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-692-2228",
            "fax_number": "314-692-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTNEY",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R5G45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290011597",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202402947",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B. Boswell, MSW, LCSW
• Christopher Bosworth, PH.D.
• Victoria Lea Bothman, LMT
• Amanda Marie Botkin, ANP
• Kathryn Botney, M.D.
• John Michael Bott, DC
• Gregory W Botteron, M.D.
• Haley Botteron, MD
• Kelly N Botteron, MD
• Hannah Bottin, CAA

• Pulmonary Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.