Provider Demographics
NPI:1063451482
Name:JONATHAN S. HOTT, M.D., P.L.C.
Entity Type:Organization
Organization Name:JONATHAN S. HOTT, M.D., P.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:HOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-943-4509
Mailing Address - Street 1:PO BOX 45005
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-5005
Mailing Address - Country:US
Mailing Address - Phone:602-943-4509
Mailing Address - Fax:602-943-0348
Practice Address - Street 1:9225 N 3RD ST
Practice Address - Street 2:STE #100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2439
Practice Address - Country:US
Practice Address - Phone:602-943-4509
Practice Address - Fax:602-943-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27933207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ94411702OtherAHCCCS
AZAZ0781820OtherBCBS
AZAZ0781820OtherBCBS
AZI24357Medicare UPIN