DR. JOHN JACOB BOTTORFF (NPI# 1437342060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437342060 |
| Entity Type | Individual |
| Full Name | DR. JOHN JACOB BOTTORFF |
| Other Name | DR. JACK BOTTORFF |
| Credential | M.D. |
| Practice Address |
407 Uluniu St Ste 411 #411 Kailua HI 96734-2544 |
| Practice Telephone | 8082637203 |
| Mailing Telephone | 8082637203 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2016-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD-16745 | HI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | E-6686 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039833 | John M Bottorff Jr. | Chiropractor | 1709 E Main St, Crawfordsville, IN 47933-3146 | 2005-11-11 |
| Street Address |
407 ULUNIU ST STE 411 #411 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104939362 | Steven Mates | Emergency Medicine | 407 Uluniu St Ste 411, Kailua, HI 96734-2544 | 2006-08-15 |
| 1083905384 | Juliana Minak | Emergency Medicine | 407 Uluniu St Ste 411, Kailua, HI 96734-2544 | 2011-04-21 |
| 1003009804 | Jill Volk | Emergency Medicine | 407 Uluniu St Ste 411, Kailua, HI 96734-2544 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808778 | Frederick Martin Burkle Jr. | Emergency Medicine | 452 Iana St, Kailua, HI 96734-3404 | 2017-12-30 |
| 1437468592 | Kyle Coker | Emergency Medicine | 407 Uluniu St # 411, Kailua, HI 96734-2519 | 2010-10-06 |
| 1285877787 | Shauna Sunita Conry | Emergency Medicine | 1308 Akumu St, Kailua, HI 96734-4152 | 2009-04-13 |
| 1639334337 | Scott R Sanderson | Emergency Medicine | 349 Auwinala Rd, Kailua, HI 96734-3434 | 2008-07-22 |
| 1558533281 | Brent Yamashiro | Emergency Medicine | 407 Uluniu Street #411, Kailua, HI 96734 | 2008-04-02 |
| 1639340417 | Samantha Streater Bamber | Emergency Medicine | 407 Uluniu St Fl 4, Kailua, HI 96734-2544 | 2008-03-19 |
| 1194865097 | Stephen Paul Graner Sr. | Emergency Medicine | 51 Kai One Pl, Kailua, HI 96734-2102 | 2007-02-08 |
| 1295875680 | Kenneth J Filbeck | Emergency Medicine | 354 Uluniu St Ste 404, Kailua, HI 96734-2534 | 2007-02-07 |
| 1417066747 | Philip W Chung | Emergency Medicine | 407 Uluniu Street, 4th Floor, Kailua, HI 96734-2544 | 2006-08-30 |
| 1104939362 | Steven Mates | Emergency Medicine | 407 Uluniu St Ste 411, Kailua, HI 96734-2544 | 2006-08-15 |
| Find all providers in KAILUA | ||||
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| 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.