NPIMap

Individual provider Active NPI

John A Botsford, MD

  • Diagnostic Radiology Physician
  • Lawrenceburg, IN
National Provider Identifier
1821050741
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35044574B Issued in OH
Practice address
600 Wilson Creek Rd
Radiology Department
Lawrenceburg, IN 47025-2751
Phone
(812) 537-8105
Fax
(812) 537-3240
NPI assigned
Apr 5, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35044574B OH Primary

Addresses

Primary practice location

600 Wilson Creek Rd
Radiology Department
Lawrenceburg, IN 47025-2751

Mailing address

7800 E Kemper Rd
Suite 150
Cincinnati, OH 45249-1664
Phone (513) 530-9200

Other identifiers 4

IdentifierTypeStateIssuer
200072460MedicaidIN
64782097MedicaidKY
0501906MedicaidOH
BO0524354OtherPTAN

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
324OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Hills Medical Imaging Diagnostic Radiology Past Accepting new patients
High Field Open MRI of Cincinnati LLC Diagnostic Radiology Past Accepting new patients
Opensided MRI of Cincinnati LLC Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
High Field Open MRI of Cincinnati, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1821050741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 E KEMPER RD",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491664",
            "telephone_number": "513-530-9200",
            "fax_number": "513-530-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WILSON CREEK RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252751",
            "telephone_number": "812-537-8105",
            "fax_number": "812-537-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSFORD",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35044574B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072460",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64782097",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501906",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BO0524354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.