Marlise Botelho (NPI# 1285801647, PAC ID# 2769640929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285801647 |
| PAC ID by PECOS | 2769640929 |
| Professional Enrollment ID | I20120220001123 |
| Full Name | Marlise Botelho |
| Organization Legal Name | SOUTH DAYTON ACUTE CARE CONSULTANTS, INC |
| Address |
33 W Rahn Rd Suite 101 Dayton OH 45429-2219 |
| Phone Number | 9374338990102 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577452465 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360360 | SOIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 | 9374338990102 | SOUTH DAYTON ACUTE CARE CONSULTANTS, INC |
| Organization Legal Name | SOUTH DAYTON ACUTE CARE CONSULTANTS, INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smanpreet K Sandhu | Physician Assistant | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Amber L Richardson | Internal Medicine | South Dayton Acute Care Consultants, Inc | 2150 Leiter Rd, Miamisburg, OH 45342-3809 |
| Hidetaka Kitazono | Hospitalist | South Dayton Acute Care Consultants, Inc | 1141 N Monroe Dr, Greene Memorial Hospital, Xenia, OH 45385-1600 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Lori E Bickett | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Renjini Rachel Thomas | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Susan Meera Grandhi | Internal Medicine | South Dayton Acute Care Consultants, Inc | 2150 Leiter Rd, Miamisburg, OH 45342-3809 |
| Valerie A Aliu | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Richard Price Davis | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Street Address |
33 W RAHN RD SUITE 101 |
| City | DAYTON |
| State | OH |
| Zip | 45429-2219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smanpreet K Sandhu | Physician Assistant | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Kamini Pranav Patel | Internal Medicine | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Tsering Norbu | Internal Medicine | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Dayton, OH 45429-2238 |
| Heta Patel | Physician Assistant | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Gnanam Thambi Pillai | Internal Medicine | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Taylor M Monus | Physician Assistant | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Tara N Perdue | Physician Assistant | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Kaili Fan | Infectious Disease | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Indu N Rao | Internal Medicine | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Dayton, OH 45429-2238 |
| Janet Wasylyshen-velasco | Hospitalist | South Dayton Acute Care Consultants, Inc | 33 W Rahn Rd, Suite 101, Dayton, OH 45429-2219 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Find all physicians in zip 45429 | |||
| City | DAYTON |
| Zip Code | 45429 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DAYTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marlise Botelho.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.