Mark J Botham
Cardiothoracic Vascular Surgeon
9500 Euclid Ave
Cleveland
, Ohio 44195-0001
Mark J Botham
Cardiothoracic Vascular Surgeon
9500 Euclid Ave
Cleveland
, Ohio 44195-0001
(800) 223-2273
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mark J Botham
- 6000 W Creek Rd Suite 10
- Independence, OH
- Zip : 44131-2139
- Phone : (800) 223-2273
Second Address
- Mark J Botham
- 9500 Euclid Ave
- Cleveland, OH
- Zip : 44195-0001
- Phone : (800) 223-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35060700B | OH |
National Provider Identifier
| NPI | 1003879024 |
|---|---|
| Provider Name | Mark J Botham |
| First Address | Independence, OH 44131-2139 |
| Second Address | Cleveland, OH 44195-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 24/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0975468 | (05) | OH |
| B45631 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.