Herbert O Bote

Sports Medicine Central Peninsula General Hospital NPI1972535417

Summary

About

Herbert O Bote specialises in Sports Medicine. He currently works at Central Peninsula General Hospital in Alaska.

Provider Details

NPI Number 1972535417
Provider Name Herbert O Bote
Credential MD
Specialization Sports Medicine
Medical School Name Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year 1991
Gender M
Entity Type Individual
PAC ID by PECOS 4183669369
Professional Enrollment ID I20140505001949
Enumeration Date 07/07/2006
Last Update Date 04/06/2021

Contact Details

Business Practice address 240 HOSPITAL PL STE 204, Soldotna,
99669-7559 Alaska View on Google Map
Business Practice phone 907-714-4120
Business Practice fax 844-412-3943
Mailing address PO BOX 1534, Soldotna,
99669-1534 Alaska View on Google Map
Other phone 907-420-3540
Other fax 907-312-5881
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Herbert O Bote MD Update NPI

Payments

Total Payment Worth

$6,108.66
from 41 payments in the last 6 years

Total Cash or Cash Equivalent

$1,682.01
from 10 payments in the last 6 years

Total In-kind Items & Services

$4,426.65
from 31 payments in the last 6 years

Hospital Affilitation

Central Peninsula General Hospital in Soldotna

Soldotna, Alaska

Education & Training

Loyola University Of Chicago, Stritch School Of Medicine

Sports Medicine, 1991

Group Affiliation

Organization Name PECOS PAC ID Members
Central Peninsula General Hospital Inc 4587552575 71

Public Reporting for Performance Scores

More Details

Final MIPS Score

95.57 out of 100

Score Breakdown

Quality Category Score 90.32
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 32
Source of Scores: group
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy
License No.
8038 (Alaska)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1972535417
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor Y
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Bote
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Herbert
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address PO BOX 1534
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Soldotna
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Alaska
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 99669-1534
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 907-420-3540
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 907-312-5881
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 240 HOSPITAL PL STE 204
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Soldotna
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Alaska
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 99669-7559
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 907-714-4120
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 844-412-3943
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 07/07/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 04/06/2021
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 207XX0005X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Healthcare Provider Taxonomy #1
Provider License Number 1 8038
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 AK
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.