DENNIS J KOTLOVE


Address: 214 King St, Ogdensburg, NY 13669-1142
Phone: 3157136220

DENNIS J KOTLOVE (NPI# 1790764249) 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) 1790764249
Entity Type Individual
Full Name DENNIS J KOTLOVE
Credential M.D.
Practice Address 214 King St
Ogdensburg
NY 13669-1142
Mailing Address 5 Lyon Pl
Ogdensburg
NY 13669-2586
Practice Telephone 3157136220
Practice Fax Number 3153933873
Mailing Telephone 3157136220
Mailing Fax Number 3153933873
Enumeration Date 2006-01-12
Last Update Date 2016-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
172093 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01194898 05

Office Location

Street Address 214 KING ST
City OGDENSBURG
State NY
Zip Code 13669-1142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831182633 Ali M Gharagozloo Md PC Radiology 214 King St, Ogdensburg, NY 13669-1142 2005-08-26
1760094478 Leah Thompson Nurse Practitioner 214 King St, Ogdensburg, NY 13669-1142 2020-08-24
1932717360 Katelyn Guarino Social Worker 214 King St, Ogdensburg, NY 13669-1142 2020-07-22
1457976128 Gerald Joseph Hourihan Physical Therapist 214 King St, Ogdensburg, NY 13669-1142 2020-06-09
1306478722 Eileen Joyce Sharrow Dietetic Technician, Registered 214 King St, Ogdensburg, NY 13669 2020-02-05
1912542119 Ryan Beshaw Social Worker 214 King St, Ogdensburg, NY 13669-1142 2019-11-12
1134763048 Kori Larose Social Worker 214 King St, Ogdensburg, NY 13669-1142 2019-11-04
1568028306 Naguib Yassa Pathology 214 King St, Ogdensburg, NY 13669-1142 2019-05-17
1386114395 Miranda Rohe Social Worker 214 King St, Ogdensburg, NY 13669-1142 2018-12-03
1497230742 Alycia Short Physician Assistant 214 King St, Ogdensburg, NY 13669-1142 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598274581 Taylor Mclear Occupational Therapist 100 Ford St, Ogdensburg, NY 13669 2017-09-22
1457769267 Nupur Nagrare Family Medicine 100 Horwood Pl, Ogdensburg, NY 13669 2014-07-24
1598008039 Darcie L Ferro Counselor 206 Ford St., Ogdensburg, NY 13669 2013-04-03
1326380999 United Helpers Mosaic Nursing Care 732 Ford Street, Ogdensburg, NY 13669 2013-03-21
1831497346 Nicole Sovie Licensed Practical Nurse 828 Franklin St., Ogdensburg, NY 13669 2011-03-08
1023331105 Alyssa Megan Murphy Pharmacist 723 Canton Street, Ogdensbury, NY 13669 2010-03-03
1023266137 Tonya Lynn Ott Licensed Practical Nurse 618 Irvin St, Ogdensburg, NY 13669 2008-09-03
1659551778 Jeremy M. Warchol Physical Therapist 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 2007-11-06
1760683353 Katie Elizabeth Lesperance Social Worker 109 Ford Street, Ogdensburg, NY 13669 2007-05-30
1013045632 Dale Lester Hosmer Dentist 414 Jay Street, Ogdensburg, NY 13669 2007-03-02
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235198425 John W Gebert Radiology 5 Lyon Place, Richard E Winter Cancer Treatment Center, Ogdensburg, NY 13669-2586 2006-03-17
1700879558 Max S Laguerre, Md PC Radiology 5 Lyon Pl, Ogdensburg, NY 13669-2586 2005-08-26
1699915116 Muhammad Afridi Radiology 214 King St, Ogdensburg, NY 13669-1142 2009-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053875229 Msk Nassau Radiology 1101 Hempstead Turnpike, Uniondale, NY 11553 2019-01-22
1740733575 Nr Physician Group, Pllc Radiology 3910 N Buffalo St, Orchard Park, NY 14127 2016-07-28
1639566516 Fauzia Shaikh Radiology 525 E 68th St # 95, New York, NY 10065-4870 2015-04-18
1306231774 Lucas Resende Salgado Radiology 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 2015-04-02
1083008403 Alan J. Katz, M.d., Pllc Radiology 1781 Hylan Blvd, Staten Island, NY 10305-1917 2015-03-24
1417368721 Moses Min-chi Tam Radiology 550 1st Ave Fl 2, New York, NY 10016-6402 2014-05-09
1649690629 Christine Chin Radiology 622 West 168th Street Chony North B-level, New York, NY 10032 2014-04-17
1336566272 Stanislav Lazarev Radiology 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 2014-03-27
1548683022 Metropolitan Radiation Oncology Consulting PC Radiology 686 Stoneleigh Ave., Carmel, NY 10512 2014-02-04
1295070845 Ezzat T Youssef Radiology 5 Ridge Ave, Staten Island, NY 10304-1418 2012-12-09
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Competitor

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City OGDENSBURG
Zip Code 13669

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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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