- Practice location
- 33 Sewall St, Portland, ME 04102-2603
- Phone
- 207-272-2734
- Fax
- —
- Last updated
- September 21, 2018
Cody Bothel is a Physician Assistant based in Portland, ME. Cody Bothel practices in Portland, ME and has the professional credentials of PA-C. The NPI Number for Cody Bothel is 1952892978 and holds a License No. PA1793 (ME). The current practice location address for Cody Bothel is 33 Sewall St, Portland, ME 04102-2603 and can be reached out via phone at 207-272-2734.
Provider Profile Details
- NPI Number
- 1952892978
- Provider Name
- Cody Bothel
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33 Sewall St, Portland, ME 04102-2603
- Phone Number
- 207-272-2734
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2018
- Last Update Date
- September 21, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Sewall St
Portland, ME 04102-2603 - City
- Portland
- State
- Maine
- Zip
- 04102-2603
- Phone Number
- 207-272-2734
Provider Business Mailing Address Details
- Address
- 324 Gannett Dr Ste 200
South Portland, ME 04106-3266 - City
- South Portland
- State
- ME
- Zip
- 04106-3266
- Phone Number
- 207-482-7800
- Fax Number
- 207-482-7898
License Information
- License Number
- PA1793
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Portland, ME
View all Physician Assistants in Portland →- Allison C AinleyPhysician Assistant · NPI 1821837469
- Amy L Barraclough, PA-CPhysician Assistant · NPI 1770533713
- Anna L Ashline, PA-CPhysician Assistant · NPI 1679046700
- Anne Barter, PA-CPhysician Assistant · NPI 1245280981
- Ashley M Bartlett, PAPhysician Assistant · NPI 1326769548
- Ashley R Anderson, PA-CPhysician Assistant · NPI 1093352718
Frequently Asked Questions
What is the NPI number of Cody Bothel, PA-C?
The NPI number of Cody Bothel, PA-C is 1952892978. It was assigned on May 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Cody Bothel, PA-C?
Cody Bothel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1793.
Where does Cody Bothel, PA-C practice?
The practice location is 33 Sewall St, Portland, ME 04102-2603. The office can be reached at 207-272-2734 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952892978 directly on the NPPES registry website.