DAVID KOTLER PA NPI 1922006014

NPI Information

NPI: 1922006014
Provider Name: DAVID KOTLER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
263 FARMINGTON AVE
NEUROSURGERY
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4719
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David Kotler, PA is a surgical physician assistant in Farmington, CT with 36 years of experience. David Kotler, PA NPI is 1922006014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

263 FARMINGTON AVE
NEUROSURGERY
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-4719
Fax: (860) 679-1419

The NPI 1922006014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	000030	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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