James Samuel Botwright, MT(AAB), TSO, CIC
Individual provider Active NPI Public Health & General Preventive Medicine Physician · Manitou Springs, CO
NPI 1992370019 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1992370019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- License
- 105785 (CO)
- Practice address
- 30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451 - Phone
- (214) 940-9177
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105785 | CO | MD | General Practice Dentistry |
| 20122376 | CO | MD | Medical Microbiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Biochemist | 246ZB0500X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Hemapheresis Practitioner | 246QH0401X | |||
| Medical Technologist | 246QM0706X | |||
| Microbiology Specialist/Technologist | 246QM0900X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 20122376 | CO | |
| Health Educator | 174H00000X | |||
| Immunopathology Physician | 207ZI0100X | 20122376 | CO | |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | 20122376 | CO | |
| Medical Microbiology Physician | 207ZM0300X | 20122376 | CO | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 20122376 | CO | |
| Blood Banking Specialist/Technologist | 246QB0000X | |||
| Prevention Professional | 405300000X | 105785 | CO | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 105785 | CO | Yes |
Addresses
Primary practice location
30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451
Mailing address
30 El Paso Blvd Apt 8
Manitou Springs, CO 80829-2451
Phone (214) 940-9177
Other providers in Manitou Springs, CO
- Kirt Baab
- Chandler Rene Bickford
- Frank S Chavez
- Cheyenne Village, Inc.
- Cheyenne Village, Inc.
- Faith A Christensen
- Jordan T Ciambrone
All providers in Manitou Springs, CO · Public Health & General Preventive Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.