Provider Demographics
NPI:1144334814
Name:KOT, JAMES B (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:KOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 GOLF CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7953
Mailing Address - Country:US
Mailing Address - Phone:601-261-0426
Mailing Address - Fax:
Practice Address - Street 1:54 GOLF CLUB RD
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7953
Practice Address - Country:US
Practice Address - Phone:601-261-0426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS17256208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1559345OtherAMERICAN ADMIN GROUP
MS00124166Medicaid
MS1559345OtherAMERICAN ADMIN GROUP
MS780000038Medicare PIN
MS1559345OtherAMERICAN ADMIN GROUP