John Cottam MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JOHN COTTAM MD PA

Practice address

222 W Main St
Bartow, FL 33830-4511

Phone

(813) 962-4210

Fax

(813) 962-0566

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Shawna Frame

Title

Billing Manager

Phone

(423) 525-5993

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John Cottam MD PA

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1013685031

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1215603337

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Brandon, FL
  • NPI 1225704349

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Chiefland, FL
  • NPI 1437871548

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Fort Walton Beach, FL
  • NPI 1750057873

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Sun City Center, FL
  • NPI 1770259897

  O20080826000032

  Same enrollment
• John Cottam MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982860045

  O20080826000032

  Same enrollment

Tax ID family

John Cottam MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• John Cottam MD PA

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1215603337
  NPD tax ID
• John Cottam MD PA

  • Dermatology Physician
  • Brandon, FL
  • NPI 1225704349
  NPD tax ID
• John Cottam MD PA

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

  • Dermatology Physician
  • Fort Walton Beach, FL
  • NPI 1750057873
  NPD tax ID
• John Cottam MD PA

  • Dermatology Physician
  • Sun City Center, FL
  • NPI 1770259897
  NPD tax ID

Locations

Practitioners 1

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

• John A Cottam, MD

  • Dermatology Physician
  • Tampa, FL
  • NPI 1629174941
  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1780350892",
    "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": "222 W MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304511",
            "telephone_number": "813-962-4210",
            "fax_number": "813-962-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COTTAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "FRAME",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-525-5993"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004408306",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "skinmd@hotmail.com",
            "affiliation": "N",
            "address_1": "222 W Main St",
            "city": "Bartow",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338304511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steevens Jean, OTR/L
• Inga Jennings, APRN
• Jesse Morgan, M.D., LLC
• Tonda Jiles
• Samuel Jimenez, CASEMANAGER
• Casey Leigh Johnson, MA. CMHC
• Imprice Johnson, RN
• Joshua Johnson
• Adriana Jones, RN
• Ann Marie Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.