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MARK J BOTHAM MD
NPI 1003879024
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Cleveland, OH

Active since April 10, 2006
9500 EUCLID AVE, CLEVELAND, OH 44195(800) 223-2273 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark J Botham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J BOTHAM MD (NPI 1003879024) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Cleveland, Ohio, licensed in Ohio (35060700B) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1003879024
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARK J BOTHAMCredential: MD
Location Address9500 EUCLID AVECleveland, OH 44195-0001
Mailing Address6000 W Creek Rd, Suite 10Independence, OH 44131-2139 · (800) 223-2273
Phone(800) 223-2273
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 24, 2007
✔ NPI 1003879024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in OH · 35060700B
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
9500 EUCLID AVE, Cleveland, OH 44195
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Other Identifiers 3

Medicaid0975468OH
Medicare UPINB45631OH
Medicare PINBO7345361OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Botham's NPI number?

The NPI number for Mark Botham is 1003879024. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Mark Botham located?

Mark Botham practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (800) 223-2273.

What is Mark Botham's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Mark Botham was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.