Kathleen M. Kotas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD9800 Issued in ME

Practice address

394 Bar Harbor Rd
Trenton, ME 04605-5807

Phone

(207) 667-5899

Fax

(207) 801-5123

NPI assigned

Jan 23, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1194795252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081",
            "fax_number": "207-288-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 BAR HARBOR RD",
            "city": "TRENTON",
            "state": "ME",
            "postal_code": "046055807",
            "telephone_number": "207-667-5899",
            "fax_number": "207-801-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAS",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD9800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309220099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE LICENSE",
            "identifier": "MD9800",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Casey S Hanson, MD
• Jessica Lynn Hardy, DPT
• Robert Allen Hart
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• Meaghan Lamothe, FNP
• Melanie Anne Liles, RDH
• Shayna Nickerson, BCBA
• Robert Patten, MD

• All providers in Trenton, ME
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.