ELIZABETH PALACHICACKA KOSHI (NPI# 1255329504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255329504 |
| Entity Type | Individual |
| Full Name | ELIZABETH PALACHICACKA KOSHI |
| Credential | MD |
| Practice Address |
1805 Hobbs Rd Auburndale FL 33823-4644 |
| Mailing Address |
1290 Golfview Ave 4th Floor Attn: Billing Department Bartow FL 33830-6738 |
| Practice Telephone | 8639655400 |
| Practice Fax Number | 8639653739 |
| Mailing Telephone | 8635197900 |
| Mailing Fax Number | 8635197696 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME209029 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 069749400 | 05 |
| Street Address |
1805 HOBBS RD |
| City | AUBURNDALE |
| State | FL |
| Zip Code | 33823-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541936 | Alice Bertha Manley | Nurse Practitioner | 1805 Hobbs Rd, Auburndale, FL 33823-4644 | 2005-10-10 |
| 1740360072 | Deborah Jo Cheatwood | Registered Nurse | 1805 Hobbs Rd, Auburndale, FL 33823-4644 | 2006-10-17 |
| 1366539017 | Lisa Elder Butchee | Registered Nurse | 1805 Hobbs Rd, Auburndale, FL 33823-4644 | 2006-10-06 |
| 1366483927 | Valerie Denise Lewis | Registered Nurse | 1805 Hobbs Rd, Auburndale, FL 33823-4644 | 2006-06-08 |
| 1538132386 | Marjorie Sue Albright | Registered Nurse | 1805 Hobbs Rd, Auburndale, FL 33823-4644 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134621865 | Amanda L Lail | Nurse Practitioner | 901 Hardy Way, Auburndale, FL 33823 | 2018-03-08 |
| 1639680176 | Creative Hands In Motion LLC | In Home Supportive Care | 2405 Smoke Rd, Auburndale, FL 33823 | 2017-10-23 |
| 1932620952 | Hanief Williams Jr. | Dentist | 308 E Park Street, Auburndale, FL 33823 | 2017-06-29 |
| 1598119224 | Paulette Maria Aiken | Case Manager/Care Coordinator | 981 Classic View Drive, Auburndale, FL 33823 | 2016-04-19 |
| 1114389939 | May E. Hunter | Nurse Practitioner | 215 Dorothy St, Pob 1790, Auburndale, FL 33823 | 2016-03-22 |
| 1285092916 | Kimberley Lawrence | Behavioral Analyst | 202 Howard Street, #3, Auburndale, FL 33823 | 2016-02-09 |
| 1255670568 | Richard Merle Carlson | Occupational Therapist | 5245 North Socrum Loop Road, Lakeland, FL 33823 | 2013-02-06 |
| 1619108461 | Hughes Transportation Inc | Non-emergency Medical Transport (VAN) | 215 East Bridges Avenue, Auburndale, FL 33823 | 2009-07-28 |
| 1477698504 | Jon Larry Barber | Optometrist | 2120 West Highway 92, Attn Vision Center, Auburndale, FL 33823 | 2007-02-20 |
| 1194806133 | David L Carney | Physician Assistant | 134 Ariana Avenue, Health Works, Auburndale, FL 33823 | 2006-10-18 |
| Find all providers in zip 33823 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497881080 | Karen Falkoff | Pediatrics | 387 Wolcott St, Auburndale, MA 02466-1521 | 2007-02-26 |
| 1356392013 | Ganesh N Deshpande | Pediatrics | 377 Lake Vista Dr, Auburndale, FL 33823-5743 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
| City | AUBURNDALE |
| Zip Code | 33823 |
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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.