Provider Demographics
NPI:1073594644
Name:HOTT, JONATHAN SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:SETH
Last Name:HOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
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:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ27933207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ944117-02Medicaid
AZ944117-02Medicaid
AZZ110059Medicare PIN