DR. KENNETH EDWARD COTTLE (NPI# 1205139367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205139367 |
Entity Type | Individual |
Full Name | DR. KENNETH EDWARD COTTLE |
Credential | M.D. |
Practice Address |
148 S Bay Dr Bullard TX 75757-8929 |
Practice Telephone | 9038256682 |
Mailing Telephone | 9038256682 |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
C5644 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417105636 | Kenneth Austin Cottle | Social Worker | 16-24 Union Street, Middletown, NY 10940 | 2008-08-29 |
Street Address |
148 S BAY DR |
City | BULLARD |
State | TX |
Zip Code | 75757-8929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770131773 | Bluebonnet Point Wellness, LLC | Skilled Nursing Facility | 151 Heritage Springs Drive, Bullard, TX 75757 | 2019-09-03 |
1649793365 | Vanessa Mae Dockter | Specialist/Technologist | 1426 South Houston, Bullard, TX 75757 | 2017-07-25 |
1912398348 | Obach Physical Therapy Clinic LLC | Physical Therapist | 200 County Road 3801, Bullard, TX 75757 | 2015-02-06 |
1851734792 | Bullard Independent School District | Local Education Agency (LEA) | 1426b S Houston, Bullard, TX 75757 | 2013-04-10 |
1063700110 | Ralph Rosauro Mendoza Obach | Physical Therapist | 200 County Rd 3801, Bullard, TX 75757 | 2011-07-11 |
1346424678 | Jennifer Marie King | Physical Therapy Assistant | 106 Hickory St, Bullard, TX 75757 | 2007-12-21 |
1073698585 | Ferrell Roper Clinic, Pllc | Nurse Practitioner | 105 North Phillips Street, Bullard, TX 75757 | 2006-10-25 |
1215974373 | Bullard Family Medicine, P.a. | Family Medicine | 395 Highway 69 North, Bullard, TX 75757 | 2006-05-31 |
1346290723 | Linda G Roper | Nurse Practitioner | 105 Phillips St., Bullard, TX 75757 | 2006-05-10 |
1184622318 | All Home Infusion Inc | Durable Medical Equipment & Medical Supplies | 16541 Fm 344, Bullard, TX 75757 | 2005-07-12 |
Find all providers in zip 75757 |
Taxonomy Code | 2083A0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Aerospace Medicine |
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295267573 | Quinn Dufurrena | Preventive Medicine | 301 University Blvd # 1110, Galveston, TX 77555-1110 | 2017-03-28 |
1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
1689069296 | Darryl George Demaris | Preventive Medicine | Texas A&m Hsc Com S&w Hospital, 2401 S. 31st Street - Ms-01-w256, Temple, TX 76508-0001 | 2015-03-31 |
1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
1407198823 | David Chase Rogers | Preventive Medicine | 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 | 2013-03-24 |
1326387291 | Skin Institute | Preventive Medicine | 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 | 2013-02-12 |
1710221742 | Conrad Ivan Dalton | Preventive Medicine | 98 S. Shawnee Ridge Circle, The Woodlands, TX 77382-2555 | 2012-11-15 |
1164766358 | Guillermo J. Salazar | Preventive Medicine | 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137-4204 | 2012-11-12 |
1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
1245498922 | Richard Harris Stoller | Preventive Medicine | 13714 Cape Blf, San Antonio, TX 78216-1605 | 2008-05-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.