Tamara O. Cottam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5711A Issued in WY

Practice address

820 E. 17TH Street
Cheyenne, WY 82001-4797

Phone

(307) 777-7911

Fax

(307) 634-3510

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WY

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 Practice

Education

Creighton University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Star Valley Medical Center Hospital, Afton, WY, CCN 531313
• Star Valley Medical Center Nursing home, CCN 53Z313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: tcottam624903@direct.ochin.org

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

• North Lincoln County Hospital District

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  Medicare reassignment
• North Lincoln County Hospital District

  • Family Medicine Physician
  • Afton, WY
  • NPI 1730132523
  Medicare reassignment
• Eye Care Clinic & Optical LLC

  • Eyewear Supplier
  • Cheyenne, WY
  • NPI 1427265180
  NPD (past)
• North Lincoln County Hospital District

  • Nursing Facility/Intermediate Care Facility
  • Afton, WY
  • NPI 1255421228
  NPD (past)
• University of Wyoming

  • Federally Qualified Health Center (FQHC)
  • Laramie, WY
  • NPI 1639617061

  Family Medicine

  NPD (past)
• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  NPD (past)

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

• North Lincoln County Hospital District

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1164488185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E. 18TH STREET",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014797",
            "telephone_number": "307-777-7911",
            "fax_number": "307-634-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E. 17TH STREET",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014797",
            "telephone_number": "307-777-7911",
            "fax_number": "307-634-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTAM",
        "first_name": "TAMARA",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5711A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. HEALTH HUMAN SVCS.",
            "identifier": "23042",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "313170",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111040300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00169593",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corporate Protective Services, Inc
• Kelly Correll, BCHIS
• Linda L Correll
• Morgan Lee Corrington, FNP-BC
• Jason Coston
• Matthew James Cotter, RN
• Amy Cotton, RN
• Donnie Ray Cotton
• Jacee Renee Cotton, O.D.
• Heather Coughenour

• Family Medicine Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.