John J Thottam (NPI# 1922077619, PAC ID# 5193984508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1922077619 |
| PAC ID by PECOS | 5193984508 |
| Professional Enrollment ID | I20120305000202 |
| Full Name | John J Thottam |
| Address |
4800 Higbee Ave Nw Canton OH 44718-2528 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4800 Higbee Ave Nw, Canton, OH 44718-2528 |
| Street Address |
4800 HIGBEE AVE NW |
| City | CANTON |
| State | OH |
| Zip | 44718-2528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mcavinew | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Ebony Lewis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Kimberly R Oney | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Gina Kicos | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Adarsh Vennepureddy | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Shawn Richards | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Sunitha Vemulapalli | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Gust Pantelas | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Matthew Licause | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Alina Marie Wolf | Physician Assistant | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Find all physicians in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | CANTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on John J Thottam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.