John A Cottam, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0072051 Issued in FL

Practice address

14310 N Dale Mabry Hwy Ste 180
Tampa, FL 33618-2059

Phone

(813) 962-4210

Fax

(813) 962-0566

NPI assigned

Sep 15, 2006

Last updated

May 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of South Florida College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lumen Dermatology LLCGroup PAC ID 6901322544, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• John Cottam MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982860045
  Medicare reassignment NPD Authorized official
• Lumen Dermatology LLC

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1235938341
  Medicare reassignment Care Compare group
• John Cottam MD PA

  • Dermatology Physician
  • Chiefland, FL
  • NPI 1437871548
  NPD
• John Cottam MD PA

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1215603337
  NPD (past)
• John Cottam MD PA

  • Dermatology Physician
  • Brandon, FL
  • NPI 1225704349
  NPD (past)
• John Cottam MD PA

  • Dermatology Physician
  • Fort Walton Beach, FL
  • NPI 1750057873
  NPD (past)
• John Cottam MD PA

  • Dermatology Physician
  • Sun City Center, FL
  • NPI 1770259897
  NPD (past)
• John Cottam MD PA

  • Dermatology Physician
  • Bartow, FL
  • NPI 1780350892
  NPD (past)
• Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1003582123
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1629174941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 180",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-962-4210",
            "fax_number": "813-962-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 180",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-962-4210",
            "fax_number": "813-962-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4051 Upper Creek Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736825",
            "country_code": "US",
            "telephone_number": "813-962-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338304511",
            "country_code": "US",
            "telephone_number": "863-533-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 COUNTY RD 466",
            "address_purpose": "LOCATION",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "country_code": "US",
            "telephone_number": "352-259-1042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12889 US Highway 98 W # 107B3",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325503243",
            "country_code": "US",
            "telephone_number": "850-424-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5105 Manatee Ave W Ste 12",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342093706",
            "country_code": "US",
            "telephone_number": "941-744-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 212W",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115977",
            "country_code": "US",
            "telephone_number": "813-962-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Mar Walt Dr Unit 100",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476661",
            "country_code": "US",
            "telephone_number": "850-424-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTAM",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0072051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000831900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T Cote
• Linda Cothron, ARNP, MS
• Ashley Ivy Coto, LCSW
• Humberto A Coto, M.D.
• Jennifer Cott
• Abbe Cheryl Cotter, MSW
• Carrie Cotter
• Amy Elizabeth Cotton, M.D.
• Eric Cotton, MD
• Melanie Lauren Cottone-Zarra, PA

• Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.

Verify at the official NPI Registry.