Physician Compare National (NPI:1720079163)

HEALTHCARE PROVIDER: JAMES M COTTOM DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720079163
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618903618
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071217000578
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COTTOM
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FLORIDA ORTHOPEDIC FOOT AND ANKLE CENTER LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7416252853
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1630 S TUTTLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	SARASOTA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	342393108
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9419248777
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100299
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAKEWOOD RANCH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100175
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DESOTO MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y