Organization Active NPI

Henry Earl Cotman, M. D., P. a

  • Radiation Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1811268253
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0019800 Issued in FL
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

Updated by the provider on Jan 17, 2012

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0655988MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.