Henry Earl Cotman, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME19800 Issued in FL

Practice address

6449 38TH Ave N
Suite C-3
St Petersburg, FL 33710-1655

Phone

(727) 492-7335

Fax

(727) 344-5005

NPI assigned

Sep 8, 2006

Last updated

Jan 18, 2012By the provider in NPPES

Sex

Male

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 6

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Henry Earl Cotman, M. D., P. a

  • Radiation Oncology Physician
  • St Petersburg, FL
  • NPI 1811268253
  Authorized official Same address or phone
• St Pete Cancer Treatment Center LLC

  • Radiation Oncology Clinic/Center
  • North St Petersburg, FL
  • NPI 1326201591
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1194829432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337310383",
            "telephone_number": "727-492-7335",
            "fax_number": "727-344-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE C-3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-492-7335",
            "fax_number": "727-344-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTMAN",
        "first_name": "HENRY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME19800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "19381",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "62313",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE MEDICAID",
            "identifier": "19381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4129335",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "62313",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065598800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodolpho Luvison Costa Guimaraes, DDS
• Anthony Costanzo, DPM
• Kierra Coston, RBT
• Lea Paige Cothran Hampton, MA, CCC, SLP
• Sherri Ann Cothran, LCSW
• Lindsay Jane Cotto
• Brittani Couch
• Harold Matthew Couch, M.D.
• Danielle N Coughlin, CNM
• Lindsey Council

• Radiation Oncology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.