MS. TAMARA KOSS (NPI# 1013989599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013989599 |
| Entity Type | Individual |
| Full Name | MS. TAMARA KOSS |
| Credential | MD |
| Practice Address |
260 Middle Country Rd Suite 208 Smithtown NY 11787-2982 |
| Practice Telephone | 6318633223 |
| Practice Fax Number | 6318633334 |
| Mailing Telephone | 6318633223 |
| Mailing Fax Number | 6318633334 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 222324 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475410 | Tamara E.b. Koss | Dentist | 1990 Canterbury Drive, Indialantic, FL 32903-4027 | 2005-11-28 |
| Street Address |
260 MIDDLE COUNTRY RD SUITE 208 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157948 | Stephen Daniel Shappell | Specialist | 260 Middle Country Rd, Suite 214, Smithtown, NY 11787-2982 | 2005-07-08 |
| 1902138233 | Thomas R Scott | Pharmacist | 260 Middle Country Rd, Suite 105, Smithtown, NY 11787 | 2010-02-11 |
| 1396077335 | Thomas Gee | Pharmacist | 260 Middle Country Rd, Smithtown, NY 11787-2982 | 2010-02-01 |
| 1871722587 | Jill A Ryan | Nurse Practitioner | 260 Middle Country Rd, 214, Smithtown, NY 11787-2982 | 2009-07-02 |
| 1053579524 | Jennifer Cassidy | Nurse Practitioner | 260 Middle Country Rd, Suite 214, Smithtown, NY 11787-2982 | 2008-05-30 |
| 1093973778 | Marjorie C. Ravitz Dpm PC | Podiatrist | 260 Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 | 2008-05-29 |
| 1497960751 | Carder Kelly | Specialist | 260 Middle Country Rd, Smithtown, NY 11787-2982 | 2007-05-11 |
| 1073735593 | Michael Fastenberg | Dermatology | 260 Middle Country Rd, Suite 208, Smithtown, NY 11787-2982 | 2007-05-03 |
| 1619067899 | Lisa Schirripa | Podiatrist | 260 Middle Country Rd, Ste 104, Smithtown, NY 11787 | 2006-10-16 |
| 1740373802 | Lisa Larocca-hulsen | Podiatrist | 260 Middle Country Rd, Suite 104, Smithtown, NY 11787-2982 | 2006-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376585539 | Snehal P Amin | Dermatology | 327 Middle Country Rd, Smithtown, NY 11787-2905 | 2006-06-12 |
| 1881686418 | Morton B Weinberg | Dermatology | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2005-08-19 |
| 1699071159 | Carina Perrotta | Dermatology | 327 Middle Country Rd, Smithtown, NY 11787-2905 | 2011-02-01 |
| 1255574026 | Kay Azzara | Dermatology | 327 E Main St, Smithtown, NY 11787 | 2009-04-09 |
| 1073735593 | Michael Fastenberg | Dermatology | 260 Middle Country Rd, Suite 208, Smithtown, NY 11787-2982 | 2007-05-03 |
| 1578682985 | Audra Marie Malerba | Dermatology | 327 E Main St, Smithtown, NY 11787-2905 | 2007-03-28 |
| 1356494231 | Donna April Serure | Dermatology | 327 E Main St, Smithtown, NY 11787-2905 | 2007-01-22 |
| 1205901683 | Faith Leslie Leffel | Dermatology | 327 E Main St, Smithtown, NY 11787-2905 | 2006-11-21 |
| 1679532907 | Daniel Mark Siegel | Dermatology | 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 2006-03-23 |
| 1821057977 | Anthony Lei-on Wong | Dermatology | 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 2006-03-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.