Southshore Family Medicine, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M5111 Issued in TX

Legal business name

SOUTHSHORE FAMILY MEDICINE, P.A.

Practice address

400 W Medical Center Blvd Ste 215
Webster, TX 77598-4227

Phone

(281) 316-1033

Fax

(281) 316-1066

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

John Thomas CottinghamNPI 1194866996

Title

Physician / Owner

Phone

(281) 316-1033

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Southshore Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southshore Family Medicine, P.a.

  • Family Medicine Physician
  • Webster, TX
  • NPI 1639980626
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Thomas Cottingham, MD

  • Family Medicine Physician
  • Webster, TX
  • NPI 1194866996
  Medicare reassignment NPD Authorized official
• Allaine Abellana, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1831535756
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1265617799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY",
            "address_2": "SUITE 114",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "281-538-8000",
            "fax_number": "281-538-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MEDICAL CENTER BLVD STE 215",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984227",
            "telephone_number": "281-316-1033",
            "fax_number": "281-316-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSHORE FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "COTTINGHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "281-316-1033"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0045QH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Sood, M.D.
• Bjorn Anthony Sorensen, MD
• Diego Tonathiu Soto Rubio, MD
• South Path LTD
• Southern Dental at Baybrook PLLC
• Southshore Family Medicine, P.a.
• Southwest Radiology Assn
• Space Center Chiropractic
• Space City Associates of Nephrology, PA
• Space City Emergency Physicians

• Family Medicine Physician in Webster, TX
• Providers in Webster, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.