Active NPI
Henry Earl Cotman, M. D., P. a
- Radiation Oncology Physician
- St Petersburg, FL
National Provider Identifier
1811268253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME0019800
- Legal business name
- HENRY EARL COTMAN, M. D., P. A
- Practice address
- 6449 38TH Ave N
Suite C-3
St Petersburg, FL 33710-1655 - Phone
- (727) 492-7335
- NPI assigned
- Jan 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry Earl Cotman, M. D.
- Title
- President/Owner
- Phone
- (727) 492-7335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME0019800 | FL | Primary |
Addresses
Primary practice location
6449 38TH Ave N
Suite C-3
St Petersburg, FL 33710-1655
Mailing address
PO Box 383
St Petersburg, FL 33731-0383
Phone (727) 492-7335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0655988 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1201 5th Ave N
Ste 130
St Petersburg, FL 33705
Phone (727) 825-1253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326758400000",
"number": "1811268253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 383",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337310383",
"telephone_number": "727-492-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 38TH AVE N",
"address_2": "SUITE C-3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101655",
"telephone_number": "727-492-7335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY EARL COTMAN, M. D., P. A",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A",
"authorized_official_last_name": "COTMAN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "727-492-7335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME0019800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655988",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.