DR. GINO BOTTINO (NPI# 1881705838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881705838 |
| Entity Type | Individual |
| Full Name | DR. GINO BOTTINO |
| Credential | MD |
| Practice Address |
1701 W Saint Marys Rd Ste 100 Tucson AZ 85745-2621 |
| Mailing Address |
330 Washington St Ste 220 Norwich CT 06360-2700 |
| Practice Telephone | 5202762270 |
| Practice Fax Number | 5205855827 |
| Mailing Telephone | 8608868362 |
| Mailing Fax Number | 8608869262 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
55107 | CA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
137196-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00826499 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E Main St, Mount Kisco, NY 105493417 | 9142418866 | 9142418997 |
| Street Address |
1701 W SAINT MARYS RD STE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154432086 | Ida Heath | Registered Nurse | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2006-08-31 |
| 1477024503 | Matthew G. Datlow | Physician Assistant | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2018-12-16 |
| 1689196719 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-07-11 |
| 1265962534 | Richy Agajanian M.d. A Professional Corp. | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-06-19 |
| 1558703801 | Jaspreet Chahal | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2013-07-26 |
| 1306285267 | Akshay Amaraneni | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2013-06-24 |
| 1932545746 | John Joseph Migliano | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745 | 2013-05-20 |
| 1851603674 | Christopher Chun Man Chen | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700798 | Iloabueke Gabriel Chineke | Internal Medicine | 3838 N. Campbell Ave, Tucson, AZ 85719-1454 | 2017-06-21 |
| 1528230737 | Natalie Anne Stanton | Internal Medicine | 3987 E Paradise Falls Dr Ste 119, Tucson, AZ 85712-6693 | 2008-03-27 |
| 1679501282 | Arizona Hematology Oncology PC | Internal Medicine | 6130 N Lacholla Blvd, 117, Tucson, AZ 85741 | 2006-06-30 |
| 1861461147 | Christopher Disimone | Internal Medicine | 603 N. Wilmot Rd., Ste 151, Tucson, AZ 85710-3587 | 2006-03-17 |
| 1447229711 | Robert John Brooks | Internal Medicine | 3945 E Paradise Falls Dr Ste 105, Tucson, AZ 85712-6686 | 2006-03-17 |
| 1679545016 | David Alberts | Internal Medicine | 1515 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-02-01 |
| 1215924840 | Laurie L Chen | Internal Medicine | 2070 W Rudasill Rd Ste 130, Tucson, AZ 85704-7891 | 2005-09-29 |
| 1114923943 | Suresh B Katakkar | Internal Medicine | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 | 2005-06-27 |
| 1093370918 | Arizona Blood and Cancer Specialists, Pllc | Internal Medicine | 3945 E Paradise Falls Dr Ste 201, Tucson, AZ 85712-6687 | 2019-05-06 |
| 1689196719 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-07-11 |
| Find all providers in TUCSON | ||||
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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.