MANUELA BOTERO


Address: 1209 Lochshyre Ct, Lawrenceville, GA 30043-4474
Phone: 4049665071

MANUELA BOTERO (NPI# 1194252379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194252379
Entity Type Individual
Full Name MANUELA BOTERO
Practice Address 1209 Lochshyre Ct
Lawrenceville
GA 30043-4474
Practice Telephone 4049665071
Enumeration Date 2017-05-18
Last Update Date 2017-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1209 LOCHSHYRE CT
City LAWRENCEVILLE
State GA
Zip Code 30043-4474

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1932611688 Asfc Outreach Therapeutic Counseling Services, LLC Counselor 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 2017-11-02
1518486810 Shira Brey Williams Specialist/Technologist 1030 Collins Hill Rd, Lawrenceville, GA 30043 2017-09-18
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346703758 Alexander Lee Anesthesiologist Assistant 1228 Christiana Xing, Lawrenceville, GA 30043-7007 2019-04-11
1699962738 Ndidi O Walker Anesthesiologist Assistant 575 Profession Drive, Ste. 165, Lawrenceville, GA 30046-3333 2007-10-03
1780298356 Jennifer Nicole Venable Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-09-01
1639782378 Tehzeeb Babwani Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-08-24
1508400078 Eui Jong Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2019-10-29
1326533266 Moon Young Jung Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046 2018-06-23
1831607142 Betsy Eleane Cuenca Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2018-01-21
1093263899 Lin Thi Bui Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2016-09-21
1992161624 Benita Merin Mathew Anesthesiologist Assistant 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 2016-01-11
1811370737 Gregg Snider Anesthesiologist Assistant 575 Professional Dr, Lawrenceville, GA 30046-3333 2015-07-09
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Competitor

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City LAWRENCEVILLE
Zip Code 30043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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