Individual
DR. HERMAN G BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2089
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525609
—
TN
01
—
6016883
BLUECROSS BLUESHIELD
TN
01
—
9292410
AETNA
TN
01
—
P01361606
RAILROAD MEDICARE
TN
Enumeration date
12/19/2005
Last updated
01/14/2026
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