Individual
ROSS WADE COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11518 MAIN ST, LOUISVILLE, KY 40243-1316
(270) 229-6402
Mailing address
1300 CARDINAL DR UNIT 408, LOUISVILLE, KY 40213-1382
(502) 759-2103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25225
KY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
2015090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516862
MEDICARE PTAN
KY
01
—
200027380
INDIANA MEDICAID
IN
01
—
64252257
KENTUCKY MEDICAID
KY
01
—
P00355889
MEDICARE RAIL ROAD PTAN
KY
Enumeration date
05/12/2006
Last updated
02/04/2020
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