Provider Type Icon

DR. MITCHELL DAVID BOTNEY M.D. NPI 1780650549


NPI Information

NPI: 1780650549
Provider Name: DR. MITCHELL DAVID BOTNEY, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
3009 N BALLAS RD
256C
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 692-2228
Get Directions

DR. Mitchell David Botney, M.D. is a pulmonary disease internal medicine in Saint Louis, MO. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Mitchell David Botney, M.D. NPI is 1780650549. 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:

3009 N BALLAS RD
256C
SAINT LOUIS, MO
ZIP 63131-322
Phone: (314) 692-2228
Fax: (314) 692-2017

The enumeration date for this NPI number is 2/23/2006 and was last updated on 7/13/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseR5G45MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1290011597OTHERMISSOURIRAILROAD MEDICARE
2202402947MEDICAIDMISSOURI
3940984930MEDICARE PINMISSOURI
4A10462MEDICARE UPINMISSOURI
5MA1354001MEDICARE PINMISSOURI

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: 4/28/2024

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.