Individual
JAMES A. BOTTIGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 323-2181
(859) 257-7706
Mailing address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 323-2181
(859) 257-7706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
370018093
RR MEDICARE PIN
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64185184
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
06/30/2006
Last updated
07/21/2022
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