Teri J Cottingham, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

M-7506 Issued in ID

Practice address

999 N Curtis Rd
Ste 505
Boise, ID 83706-1336

Phone

(208) 327-9521

Fax

(208) 327-9524

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

State licenses

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.

• Mountain West Derm - Blackhart PLLC

  dba Advanced Dermatology & Skin Surgery

  • Dermatology Physician
  • Spokane Valley, WA
  • NPI 1013557933
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1760437107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD",
            "address_2": "STE 505",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061336",
            "telephone_number": "208-327-9521",
            "fax_number": "208-327-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD",
            "address_2": "STE 505",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061336",
            "telephone_number": "208-327-9521",
            "fax_number": "208-327-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "TERI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M7506",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ID",
            "license": "M-7506",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "ID",
            "license": "M-7506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805151100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Cote, OTR/L
• Lynnel Cote, LPC
• Brian E. Cothern, MD
• Rebekah Lynn Keturah Cotner, MSW, LSWAIC/LCSW
• Rebecca Cotterell, RN-BC, BSN
• Jesse Alan Cottle, PA-C
• Cottonwood Family Medicine
• Jennifer Cottrell, RD
• Couch Holistic Therapy, LLC
• Rachel E Couch, LCPC

• MOHS-Micrographic Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• MOHS-Micrographic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.