Kota Cancer Clinic PLLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

KOTA CANCER CLINIC PLLC

Practice address

180 Medical Park PL
Suite 201
Hot Springs, AR 71901-8065

Phone

(501) 463-5700

Fax

(501) 463-5710

NPI assigned

May 26, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manjusha Kota, MDNPI 1629175922

Title

Physician

Phone

(501) 463-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manjusha Kota, MD

  • Hematology & Oncology Physician
  • Hot Springs, AR
  • NPI 1629175922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1124407077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 201",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 201",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065",
            "telephone_number": "501-463-5700",
            "fax_number": "501-463-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTA CANCER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "KOTA",
        "authorized_official_first_name": "MANJUSHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-463-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Koller
• Jamie Koonce, DACM, L.AC.
• Harold Joe Koppel, D.D.S.,M.S.D.
• Amy Kosters, LCSW
• Brian Kosters, LPC
• Manjusha Kota, MD
• Edward Lovett Kramer, DO
• April Chantel Krass
• KRM Management (Happy Homecare)
• Kroger Limited Partnership I (Kroger Pharmacy)

• Oncology Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Oncology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.