Provider Demographics
NPI:1669564456
Name:HOTT, KATHERINE MAY (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MAY
Last Name:HOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 SYCAMORE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-1352
Mailing Address - Country:US
Mailing Address - Phone:937-748-2290
Mailing Address - Fax:
Practice Address - Street 1:824 E FRANKLIN ST
Practice Address - Street 2:B
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-5606
Practice Address - Country:US
Practice Address - Phone:937-435-3238
Practice Address - Fax:937-435-4903
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0427522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000014483OtherANTHEM
OH0559195Medicaid
OH0559195Medicaid
$$$$$$$$$004OtherMMOH
OHHO0620544Medicare PIN