Individual
JAMES JASON HOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200300811
NC
2086S0102X
Surgical Critical Care Physician
200300811
NC
2086S0127X
Trauma Surgery Physician
200300811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011451
—
VA
01
—
134JV
BCBS OF NC
—
05
—
2005523000
—
WV
01
—
7133366
AETNA
NC
01
—
802975
PARTNERS
—
05
—
89134JV
—
NC
01
—
C7304
MEDCOST
—
05
—
Q0081M
—
SC
Enumeration date
12/13/2005
Last updated
11/12/2010
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