JORGE M BOTERO


Address: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740
Phone: 9786886182

JORGE M BOTERO (NPI# 1699758979) 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) 1699758979
Entity Type Individual
Full Name JORGE M BOTERO
Credential M.D.
Practice Address 360 Merrimack St
Bldg 9, Entrance I
Lawrence
MA 01843-1740
Practice Telephone 9786886182
Practice Fax Number 9786890731
Mailing Telephone 9786886182
Mailing Fax Number 9786890731
Enumeration Date 2005-11-21
Last Update Date 2013-11-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 76765 MA Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 9469 NH Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 76765 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110052237A 05
NH 3080859 05

Office Location

Street Address 360 MERRIMACK ST
BLDG 9, ENTRANCE I
City LAWRENCE
State MA
Zip Code 01843-1740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609877117 Home Health Vna Inc Home Health 360 Merrimack St, Building 9, Lawrence, MA 01843-1740 2005-08-09
1912504630 Nathanais Madera Counselor 360 Merrimack St, Lawrence, MA 01843-1740 2020-10-06
1023624335 Scarlet Placeres Nurse's Aide 360 Merrimack St, Lawrence, MA 01843-1740 2020-09-22
1720699275 Kelsy Duran Counselor 360 Merrimack St, Building 9 3rd Floor, Lawrence, MA 01843 2020-08-10
1992315147 Mackenzie Luna Baxley Social Worker 360 Merrimack St, Bldg 9, Ent. H, Lawrence, MA 01843 2020-08-03
1598399669 Franchesly D Gonzalez Counselor 360 Merrimack St, Lawrence, MA 01843-1740 2020-02-27
1235772724 Kathryn M Soucy Nurse Practitioner 360 Merrimack St, Lawrence, MA 01843-1740 2019-10-28
1528601408 Juana Cruz Counselor 360 Merrimack St, Lawrence, MA 01843-1740 2019-10-23
1720621873 Victoria Baxter Nurse Practitioner 360 Merrimack St, Lawrence, MA 01843-1740 2019-10-22
1023666039 Jennifer Santos Counselor 360 Merrimack St, Lawrence, MA 01843-1740 2019-09-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205466703 Jean A Schrow Student in an Organized Health Care Education/Training Program 350 Merrimack Street Bldg 5, Lawrence, MA 01843 2020-01-23
1053959049 Carolyn O'connor Occupational Therapist 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 2019-12-20
1578120754 My Dental Lawrence Pllc Clinic/Center My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 2019-05-23
1336600071 Michelle Ann Guillette Counselor 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 2019-03-26
1629540158 Kathleen D Coale Physical Therapist Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 2018-12-21
1306334933 Jannice Mari Adorno Community/Behavioral Health 34 Farnham Street, Lawrence, MA 01843 2018-04-30
1710489935 Maureen Lyn Deangelis Social Worker Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 2018-03-03
1215448733 Henry Joseph De Lima Social Worker 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 2017-10-24
1710404090 Awilda M Pimentel Counselor 111 River Pointe Way, Lawrence, MA 01843 2017-08-28
1215454772 Yu Yu Chen Counselor 439 S.union St, Suite 116, Lawrence, MA 01843 2017-08-25
Find all providers in zip 01843

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992016059 Alison Barnes Callahan Ophthalmology 360 Merrimack Street, Bldg 9 Entrance I, Lawrence, MA 01843-1764 2010-06-23
1649421843 Herbert H Hoffner Ophthalmology 26 Dillon Dr, Lawrence, NY 11559-1517 2008-10-06
1023142742 Allen Rubin Ophthalmology 7 Regent Drive, Lawrence, NY 11559 2007-03-15
1114953965 M Scott Hickman Ophthalmology 1429 Oread West St Ste 110a, Lawrence, KS 66049-5205 2006-06-23
1356386494 Natalie Marie Koederitz Ophthalmology 346 Maine St Ste 400, Lawrence, KS 66044-1393 2006-06-20
1588619779 Lawrence Eye Care Associates, P.a. Ophthalmology 1015 Iowa Street, Lawrence, KS 66044-1838 2006-05-24
1609842749 Rubin Brecher Ophthalmology 6 Meadow Ln, Lawrence, NY 11559-1828 2006-02-28
1568437994 Davinder S Nagra Ophthalmology 280 Haverhill St, Lawrence, MA 01840-1208 2006-02-20
1992788269 Irving N Bachner Ophthalmology 50 Prospect St, Suite 101, Lawrence, MA 01841 2005-11-21
1780140343 Sabates Eye Centers, Pa Ophthalmology 2200 Harvard Rd, Lawrence, KS 66049-2611 2019-02-19
Find all providers in LAWRENCE

Competitor

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City LAWRENCE
Zip Code 01843

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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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