Individual provider Active NPI

Dana K Cotham, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1093041295
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006207 Issued in MD
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925001940 MD Practitioner - Physician Assistant 9739227018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006207MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.