Active NPI
Todd S Kotler, M.D.
- Interventional Cardiology Physician
- Medford, OR
National Provider Identifier
1013925627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD16334
- Practice address
- 520 Medical Center Drive
Ste 200
Medford, OR 97504-4314 - Phone
- (541) 282-6606
- Fax
- (541) 282-6601
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD16334 | OR | |
| Interventional Cardiology Physician | 207RI0011X | MD16334 | OR | Primary |
Addresses
Primary practice location
520 Medical Center Drive
Ste 200
Medford, OR 97504-4314
Mailing address
520 Medical Center Dr
Ste 200
Medford, OR 97504-4314
Phone (541) 930-7260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16334 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1013925627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MEDICAL CENTER DR",
"address_2": "STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044314",
"telephone_number": "541-930-7260",
"fax_number": "541-930-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MEDICAL CENTER DRIVE",
"address_2": "STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044314",
"telephone_number": "541-282-6606",
"fax_number": "541-282-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLER",
"first_name": "TODD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD16334",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD16334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.