Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson J Thottam, MD

Individual provider Specialist · NPI 1922077619

Johnson J Thottam, MD is a Plastic and Reconstructive Surgery in Canton, Ohio. Qualified in 1969, 57 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
57
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 Higbee Ave NW
Canton, OH 44718-2528
Phone: (330) 492-8521
Fax: (330) 492-1967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 37564 (OH)

Record details

NPI number1922077619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESJuly 30, 2010
Mailing address4800 Higbee Ave Nw, Canton, OH 44718-2528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1969 (57 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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