STANISLAWA KRYSTYNA KOCZOROWSKA


Address: 727 E North St, Kendallville, IN 46755-1225
Phone: 2603430797

STANISLAWA KRYSTYNA KOCZOROWSKA (NPI# 1427067651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427067651
Entity Type Individual
Full Name STANISLAWA KRYSTYNA KOCZOROWSKA
Other Name MARGARET K KOCZOROWSKA
Credential MD
Practice Address 727 E North St
Kendallville
IN 46755-1225
Mailing Address Po Box 727
Kendallville
IN 46755-0727
Practice Telephone 2603430797
Practice Fax Number 2603430799
Mailing Telephone 2603430797
Mailing Fax Number 2603430799
Enumeration Date 2006-08-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01033960 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UNITED HEALTH CARE 87726 01
PHP 7275 01
BLUE SHIELD 000000093825 01

Office Location

Street Address 727 E NORTH ST
City KENDALLVILLE
State IN
Zip Code 46755-1225

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700292422 Dawn Levin Physical Therapist 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 2014-07-02
1679989495 Elaine Patterson Physical Therapist 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 2014-07-02
1841606563 Justin Todd Chaple Physical Therapist 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 2014-07-02
1073802997 Bryan William Smith Counselor 1930 Dowling St., Kendallville, IN 46755 2011-03-31
1417101247 Walgreen Co Durable Medical Equipment & Medical Supplies 124 E North St, Kendallville, IN 46755 2008-11-06
1770778367 Assisted Living Concepts Inc Assisted Living Facility 2870 South Lima Road, Kendalville, IN 46755 2007-09-07
1629143805 Kendallville Chiropractic Center Inc Chiropractor 1229 N Lima Rd, Kendallville, IN 46755 2006-11-22
1841307139 Theodore L Deal Jr. Dentist 225 Fairview Blvd, Kendallville, IN 46755 2006-08-24
1467469858 David Lee Holliday Chiropractor 930 West North St., Kendallville, IN 46755 2006-08-01
1699708370 Vincent J Coda Podiatrist 410 E Mitchell St, Kendallville, IN 46755 2006-07-08
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124013578 Abdali S. Jan Internal Medicine 610 N Sawyer Rd, Kendallville, IN 46755-2566 2005-09-13
1609850486 Sadaf Bangash Internal Medicine 512 Professional Way, Kendallville, IN 46755-2927 2005-12-05

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1821610783 Michiana Weight Loss and Wellness Clinic LLC Internal Medicine 14304 Sr 23, Granger, IN 46530 2020-05-14
1194354530 Mycare Express Clinic Internal Medicine 3608 W 80th Ln, Merrillville, IN 46410-5061 2020-04-07
1508493669 Md Healthcare Direct Internal Medicine 5330 Harrison Street, Merrillville, IN 46410-1465 2020-03-26
1386280923 Spencer Wellness Centre LLC Internal Medicine 7202 E 71st St, Indianapolis, IN 46256-1904 2019-11-19
1982245593 Melvin Jay Prince Internal Medicine Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 2019-10-04
1699321307 Medical Consultants of Central Indiana LLC Internal Medicine 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 2019-08-18
1235799909 Emd Healthcare, LLC Internal Medicine 6582 W Deerfield Dr, Zionsville, IN 46077-7500 2019-06-16
1487217121 Perry County Memorial Hospital Internal Medicine 559 Main St Ste 1, Rockport, IN 47635-1451 2019-04-18
1245797208 Shaze Medical Group LLC Internal Medicine 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 2019-02-26
1881167997 Jara Lynn Southerland Internal Medicine 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 2019-01-10
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Competitor

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City KENDALLVILLE
Zip Code 46755

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Dataset Information

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.

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