KATHRYN MIRIAM KOTHARI


Address: 777 Bannock St # Mc0108, Denver, CO 80204-4507
Phone: 3034366000

KATHRYN MIRIAM KOTHARI (NPI# 1417390063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417390063
Entity Type Individual
Full Name KATHRYN MIRIAM KOTHARI
Credential MD
Practice Address 777 Bannock St # Mc0108
Denver
CO 80204-4507
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 3034366000
Mailing Telephone 3034937000
Enumeration Date 2013-04-14
Last Update Date 2019-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
DR.0056771 CO Allopathic & Osteopathic Physicians
N 208000000X Pediatrics DR0056771 CO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Baylor Plz # Bcm320, Houston, TX 770303411 8328241173
13123 E. 16th Ave, Aurora, CO 800453411 7207771234

Office Location

Street Address 777 BANNOCK ST # MC0108
City DENVER
State CO
Zip Code 80204-4507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770740292 Marlow Macht Emergency Medicine 777 Bannock St # Mc0108, Denver Health Residency In Emergency Medicine, Denver, CO 80204-4507 2008-05-21
1295363075 Cody Wayne Mcilvain Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4597 2020-03-29
1194353912 Brigit Noon Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-28
1295362309 Maria Anne Kohlbrenner Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-26
1265069306 Caleb Daniel Knight Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-26
1245867373 Geoffrey W Hogan Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-26
1356978860 Lee Johnson Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-25
1356978878 Joseph Ponce Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-25
1245867704 Kelly Mcwilliams Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-25
1427685726 Kristina Marie Munoz Student in an Organized Health Care Education/Training Program 777 Bannock St # Mc0108, Denver, CO 80204-4507 2020-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205483716 Pam Specialty Hospital of Denver LLC Long Term Care Hospital 1690 N Meade St, Denver, CO 80204 2019-08-20
1912468125 Rachel Vanderwel Student in an Organized Health Care Education/Training Program 777 Bancock Street, Mc 0108, Denver, CO 80204 2019-03-29
1831673391 Alexandra Wilcox Counselor 1175 Osage St, Suite 205, Denver, CO 80204 2018-09-20
1912480716 Arieye, Inc Ophthalmology 3120 W 19th Ave, Unit 3, Denver, CO 80204 2018-09-08
1144701053 Kristina Ann Petrosino Dental Hygienist 601 Broadway St., Denver, CO 80204 2018-08-28
1811474075 Lindsey Spraker Counselor 1175 Osage Street, Suite 205, Denver, CO 80204 2018-07-20
1427541887 Healthy Life Care LLC Home Health 500 Newton St, Denver, CO 80204 2018-06-11
1932601655 Emily Gispert Weaver Student in an Organized Health Care Education/Training Program 301 W. 6th Ave., Denver, CO 80204 2018-03-08
1144745928 Melisssa Wells Licensed Practical Nurse 1801 W. 13th Ave, Denver, CO 80204 2017-08-14
1689112948 Tyler Stephens Student in an Organized Health Care Education/Training Program 2233 Champa St., Denver, CO 80204 2017-02-07
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Taxonomy Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003864893 James Bradley Ball Emergency Medicine 2055 N High St Ste 340, Denver, CO 80205-5545 2006-05-04
1205151123 Jordan M Wright Emergency Medicine 10400 E Alameda Ave, Denver, CO 80247-5104 2010-04-03
1477732303 Valeri Leswing Emergency Medicine 777 Bannock St, Denver, CO 80204-4507 2007-10-27
1134347669 Jacob David Beniflah Emergency Medicine 1719 E 19th Ave, Denver, CO 80218-1235 2007-04-22
1780669390 Kimberly R. Zimmerman Emergency Medicine 1719 E 19th Ave, Denver, CO 80218-1235 2005-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952585879 Wendy J. Mcbride Emergency Medicine 10101 Ridgegate Center, Lone Tree, CO 80124-9810 2007-12-27
1972700193 Amy Myrl Prince Emergency Medicine 1000 Lincoln St Ste 101, Fort Morgan, CO 80701-3290 2007-06-29
1043293350 Melissa Kay Ewer Emergency Medicine 9480 Briar Village Pt, Suite 200, Colorado Springs, CO 80920-7922 2005-11-22
1003135104 Timothy Owen Vanderkooy Emergency Medicine 13123 E 16th Ave, Aurora, Co 80045-7106, Aurora, CO 80045-7106 2010-05-28
1710203229 Shanlee Marie Davis Emergency Medicine 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 2010-04-09
1679809131 Megan Corina Lucero Emergency Medicine 13123 E 16th Ave, Aurora, CO 80045-7106 2009-10-19
1629211503 Sarah Anne Mellion Emergency Medicine 13123 E 16th Ave, Aurora, CO 80045 2009-04-08
1407051196 Irina Topoz Emergency Medicine 13123 E 16th Ave, Aurora, CO 80045-7106 2007-06-20
1871649459 George Sam Wang Emergency Medicine 13123 E 16th Ave, B251, Aurora, CO 80045-7106 2007-01-26
1871642140 Lynn Jeffrey Kay Peters Emergency Medicine 13123 E 16th Ave, Aurora, CO 80045-7106 2007-01-09
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Competitor

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City DENVER
Zip Code 80204

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Dataset Information

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.

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