Active NPI
Dana K Cotham, PA-C
- Physician Assistant
- Annapolis, MD
National Provider Identifier
1093041295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0006207
- Practice address
- 1000 Bestgate Rd Ste 400
Annapolis, MD 21401-3371 - Phone
- (410) 266-2720
- Fax
- (410) 224-0209
- NPI assigned
- Oct 22, 2009
- Last updated
- Sep 15, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1370 | SC | |
| Physician Assistant | 363A00000X | C0006207 | MD | Primary |
Addresses
Primary practice location
1000 Bestgate Rd Ste 400
Annapolis, MD 21401-3371
Mailing address
1000 Bestgate Rd Ste 400
Annapolis, MD 21401-3371
Phone (410) 266-2720
Other practice location 1
8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 377-2911
Other names 1
- Dana Purcell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200925001940 | MD | Practitioner - Physician Assistant | 9739227018 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0006207 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nason Medical Center V, LLC | Past | Accepting new patients | |
| Nason Medical Center II, LLC | Past | Accepting new patients | |
| Nason Medical Center IV, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- North Charleston, SC
- NPI 1467694182
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1689972739
-
- Urgent Care Clinic/Center
- Summerville, SC
- NPI 1427306299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1093041295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BESTGATE RD STE 400",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013371",
"telephone_number": "410-266-2720",
"fax_number": "410-224-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BESTGATE RD STE 400",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013371",
"telephone_number": "410-266-2720",
"fax_number": "410-224-0209"
}
],
"practiceLocations": [
{
"address_1": "8901 University Blvd",
"address_purpose": "LOCATION",
"city": "N Charleston",
"state": "SC",
"postal_code": "294069116",
"country_code": "US",
"telephone_number": "843-377-2911",
"fax_number": "843-552-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTHAM",
"first_name": "DANA",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1370",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0006207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "PURCELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.