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DR. JOSEPH BOTTALICO D.O. NPI 1538130653


NPI Information

NPI: 1538130653
Provider Name: DR. JOSEPH BOTTALICO, D.O.
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
420 E 6TH ST
SUITE 202
ODESSA, TX
ZIP 79761
Phone: (432) 582-8757
Get Directions

DR. Joseph Bottalico, D.O. is a maternal and fetal medicine obstetrics gynecology in Odessa, TX. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Joseph Bottalico, D.O. NPI is 1538130653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 E 6TH ST
SUITE 202
ODESSA, TX
ZIP 79761-529
Phone: (432) 582-8757
Fax: (432) 582-8928

The NPI 1538130653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyOS005732LPENNSYLVANIANo
2207V00000XObstetrics & GynecologyMB04176800NEW JERSEYNo
3207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineMB04176800NEW JERSEYNo
4207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineP1969TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12099101MEDICAIDNEW JERSEY
2199414CA0MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
3E06124MEDICARE UPINNEW JERSEY
48895NOMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.