Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY BOTHEL, PA-C
ActivePhysician Assistant · PORTLAND, ME
Registration Details
- NPI Number
- 1952892978
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2018 (7.9309089451614 yrs)
- Last Updated
- Sep 21, 2018
- License
-
PA1793 (ME)
Practice Information
- Address
-
33 SEWALL STPORTLAND, ME, 041022603Browse ME providers · Browse ZIP 04102
- Phone
- 2072722734
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| ROBERT KLOTZ | PA | 1467447847 |
| MRS. SARAH BLACK WIESENDANGER PATTON | PA-C | 1952391435 |
| MS. LORI A NILAND | PA-C | 1003893108 |
| MS. LEAH DEANDREA WALDMAN | PAC | 1871560821 |
| MS. LORRAINE LALIBERTE | PAC | 1982673638 |
| MR. STEVEN C. BLESSINGTON | PA, MHP | 1841259900 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.