Provider Demographics
NPI:1093079410
Name:MCCOTTER, SOFIA ELENA (MD)
Entity type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:ELENA
Last Name:MCCOTTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:SOFIA
Other - Middle Name:ELENA
Other - Last Name:MIRKOPOULOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2245 BAUER RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1977
Mailing Address - Country:US
Mailing Address - Phone:513-231-3447
Mailing Address - Fax:513-231-3761
Practice Address - Street 1:2245 BAUER RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1977
Practice Address - Country:US
Practice Address - Phone:513-231-3447
Practice Address - Fax:513-231-3761
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.128446207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology