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

Last updated

Jul 7, 2008By 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. Kirit K Kothari, MDNPI 1538331723

Title

MD President Kirit K Kothari MD PC

Phone

(570) 992-1234

Specialties & licenses 1

Addresses

Locations

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.

• Kirit K Kothari, M.D.

  • Family Medicine Physician
  • Broheadsville, PA
  • NPI 1538331723
  Authorized official Same address or phone

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": [],
    "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.