MARLISE GNUTZMANN BOTELHO (NPI# 1285801647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285801647 |
| Entity Type | Individual |
| Full Name | MARLISE GNUTZMANN BOTELHO |
| Credential | PA |
| Practice Address |
33 W Rahn Rd Dayton OH 45429-2219 |
| Practice Telephone | 9374338990 |
| Practice Fax Number | 9374338691 |
| Mailing Telephone | (937) 433-8990 |
| Mailing Fax Number | 9374338691 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2764 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33 W RAHN RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399020 | Chandra Nicole Swiech | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-09-03 |
| 1801413307 | Nadia Haller | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-06-30 |
| 1225673130 | Vicky L Peck | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-11-14 |
| 1073164497 | Smanpreet K Sandhu | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-09-26 |
| 1316597453 | Taylor M Monus | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-09-19 |
| 1447807888 | Kaleigh B Gruenberg | Hospitalist | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-08-21 |
| 1427513795 | Kelly M Mccockran | Registered Nurse | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-01-31 |
| 1255815999 | Krisha Caitlin Thomas | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-09-19 |
| 1538648241 | Kelsey Girard | Hospitalist | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-08-13 |
| 1477032993 | Kathryn E Sharits | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558668780 | Adam Joseph Thomas | Physician Assistant | 1 Elizabeth Pl Bldg G, Dayton, OH 45417-3445 | 2011-02-24 |
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1487722526 | Nancy Moyer Solada | Physician Assistant | 1989 Miamisburg Centerville Rd Ste 201, Dayton, OH 45459-3858 | 2006-11-30 |
| 1467417386 | James D. Welsh | Physician Assistant | 1427 Business Center Ct, Dayton, OH 45410-3300 | 2006-04-20 |
| 1417937558 | Anthony S Allen | Physician Assistant | 5 Pine Cone Rd, Suite 102, Dayton, NV 89403-7393 | 2006-01-17 |
| 1558353904 | Douglas Eulberg | Physician Assistant | 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1323 | 2005-08-19 |
| 1730791146 | Shannon Hayes | Physician Assistant | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2020-08-18 |
| 1164052395 | Andrew Conroy | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-01-15 |
| 1396307138 | Aleesha Mae Schafers | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-07-02 |
| 1073079190 | Mckenzie Wheeler | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-02-13 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on MARLISE GNUTZMANN BOTELHO.
| 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.