Active NPI
Erin R Cottengim, P.A.-C
- Family Medicine Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA9105262
- Practice address
- 557 N Wymore Rd Ste 202
Maitland, FL 32751-4200 - Phone
- (407) 855-1073
- Fax
- (407) 218-4747
- NPI assigned
- Jan 27, 2011
- Last updated
- May 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA9105262 | FL | Primary |
Addresses
Primary practice location
557 N Wymore Rd Ste 202
Maitland, FL 32751-4200
Mailing address
PO Box 940973
Maitland, FL 32794-0973
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1590 S Sr
15A Suite 100
Deland, FL 32720-7817
Phone (386) 774-0016
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Volusia Family and Sports Medicine Inc | Family Medicine | Current | Accepting new patients |
| Town Center Family Practice Inc | Past | Accepting new patients | |
| Florida Health Care Plan, Inc | Past | Accepting new patients |
Locations
1590 S State Road 15A
#100
Deland, FL 32720
Phone (386) 774-0016
1590 S State Road 15A
Ste 100
Deland, FL 32720
Phone (386) 774-0016
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJGIBD
- https://fhir4.healow.com/fhir/r4/HIBCAA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Deland, FL
- NPI 1548584600
-
dba FHCP ASC - Orange City
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
-
- Primary Care Clinic/Center
- Orange City, FL
- NPI 1467148411
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1518263318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940973",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327940973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WYMORE RD STE 202",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514200",
"telephone_number": "407-855-1073",
"fax_number": "407-218-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTENGIM",
"first_name": "ERIN",
"middle_name": "R",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "PA9105262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
- Hailey Corbitt, RBT
- Cornerstone Caregiving East LLC
- Cornerstone Supports and Consulting LLC
- Boris E Coronado, MD
- Maria Cherry Coronel, FNP-BC
- Counseling Hope
- Counseling Specialists, Inc. (Counseling Specialists of Central Florida)
- Sarah Courech
- Sarah Courtney, MA
- Christina Isabella Courtright, APRN FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.