Jonathan Joseph Cotter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46432-020 Issued in WI

Practice address

3110 Glendale Ave
Wausau, WI 54401-4050

Phone

(715) 845-8891

Fax

(715) 845-8891

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Peripheral Vascular Disease

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Wisconsin IncGroup PAC ID 6204208754, 48 clinicians

Cornerstone Clinic LLCGroup PAC ID 0042645046, 11 clinicians

Vohra Wound Physicians of the Mid-West, S.C.Group PAC ID 9739467309, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8439/brand/1/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plover, WI
  • NPI 1861037293

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Vohra Wound Physicians of the Mid-West, S.C.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1720536477

  WI

  Medicare reassignment Care Compare group NPD
• Curana Health of Wisconsin Inc

  • Internal Medicine Physician
  • Hartford, WI
  • NPI 1699407890
  Medicare reassignment Care Compare group
• CH Specialty Services Wi SC

  • Internal Medicine Physician
  • Hartford, WI
  • NPI 1063115319
  Medicare reassignment
• Healing Wings Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plover, WI
  • NPI 1114793908
  NPD
• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003989724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GLENDALE AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014050",
            "telephone_number": "715-845-8891",
            "fax_number": "715-845-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GLENDALE AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014050",
            "telephone_number": "715-845-8891",
            "fax_number": "715-845-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46432-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34668700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin J Cooper, RN
• Keela Coppersmith, LPC-IT
• Jennie Corey, NP
• Cornerstone Caregiving East LLC
• Patricia Ann Cotrone, LPC MA NCC
• Samuel Joseph Cotter, APSW
• Counseling to Empower New Futures LLC (Counseling to Empower)
• Kimberly J Couri, D.O.
• Tracy L Cousins, M.D.
• Gregory S Cowan, PHD

• Family Medicine Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.