Kirit K Kothari MD PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD058095L Issued in PA

Legal business name

KIRIT K KOTHARI MD PC

Practice address

Route 115 & Switzgable Road
Brodheadsville, PA 18322

Phone

(570) 992-1234

Fax

(570) 992-8610

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kirit K Kothari, MD

Title

MD President Kirit K Kothari MD PC

Phone

(570) 992-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1164542957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-1234",
            "fax_number": "570-992-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 115 & SWITZGABLE ROAD",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-1234",
            "fax_number": "570-992-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRIT K KOTHARI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD PRESIDENT KIRIT K KOTHARI MD PC",
        "authorized_official_telephone_number": "570-992-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD058095L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A01601248",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Jacoby Jr., M.A.
• Dennis Janosczyk
• Michael Clarence Johnston, MHS, LPC, CA-C
• Joseph Keglovits III, PHARMD
• Kinsleys Market of Tannersville Inc
• Ardeana Y Kirkland, CRNP
• Lynn Knappenberger, PHARMD
• Joseph Kohm
• Ellyn Kravette, MSW, CADC,CFAE,CEAP
• Doris M Lane

• Pain Medicine Physician in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.