John Cottam MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JOHN COTTAM MD PA

Practice address

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

Phone

(813) 962-4210

Fax

(813) 962-0566

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John A Cottam, MDNPI 1629174941

Title

Owner/Doctor

Phone

(813) 962-4210

Specialties & licenses 1

Addresses

Other identifiers 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
  • Bartow, FL
  • NPI 1780350892

  O20080826000032

  Same enrollment

Locations

Practitioners 4

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
  Medicare reassignment NPD Authorized official
• Lindsey Cox, PA-C

  • Physician Assistant
  • Largo, FL
  • NPI 1043069859
  Medicare reassignment
• Jennifer Edwards

  • Medical Physician Assistant
  • Niceville, FL
  • NPI 1487034344
  Medicare reassignment
• David J Kosiorek, PA C

  • Physician Assistant
  • Port Richey, FL
  • NPI 1083604144
  Medicare reassignment

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1982860045",
    "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": "741 COUNTY RD 466",
            "address_purpose": "LOCATION",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "country_code": "US",
            "telephone_number": "352-259-1042",
            "fax_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",
            "fax_number": "813-962-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "fax_number": "813-962-0566",
            "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",
            "fax_number": "813-962-0566",
            "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",
            "fax_number": "813-962-0566",
            "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",
            "fax_number": "813-962-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN COTTAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "COTTAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "813-962-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "000831900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Mitchell Johansen, MD
• Christian Henrik Johansson, PA-C
• John a Dietrick M D P L
• John Baker MD PA
• John C Brock MD PL
• John D Dos Passos II DMD PA
• John E Barsa, M.D., PA
• John F Altenburg MD PA
• John F Altenburg, MD, PA
• John Hendershot, PH.D., P.a.

• 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 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.