DAVID W. KOSSOFF, M.D., PA (NPI# 1437206984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437206984 |
| Entity Type | Organization |
| Organization Name | DAVID W. KOSSOFF, M.D., PA |
| Other Organization Name | OPTIMAL DIGESTIVE CARE |
| Practice Address |
70 Thomas Johnson Dr Suite 120 Frederick MD 21702-4361 |
| Practice Telephone | 3016245566 |
| Practice Fax Number | 3016245542 |
| Mailing Telephone | 3016245566 |
| Mailing Fax Number | 3016245542 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | DR. DAVID W KOSSOFF (OWNER AND PHYSICIAN) |
| Authorized Official Telephone | 3016245566 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0054121 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 133102701 | 05 | |
| MD | CAREFIRST NAT CAP AREA | 4040001 | 01 |
| MD | NCPPO | 494710 | 01 |
| MD | CAREFRIST OF MD | 682BDA | 01 |
| MD | INFORMED | P10152 | 01 |
| MD | RAILROAD MEDICARE | P00206418 | 01 |
| MD | MDIPA OPT CHOICE | 376329 | 01 |
| Other Name | Type Code |
|---|---|
| Optimal Digestive Care | Doing Business As Name - Organization |
| Street Address |
70 THOMAS JOHNSON DR SUITE 120 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497735377 | Tony Kyungsik Yoon | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-01-18 |
| 1043408115 | Beth Renee Smolko | Physician Assistant | 70 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4361 | 2007-10-13 |
| 1376744417 | Ronald A Schwartz | Optometrist | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2007-05-29 |
| 1104030444 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2007-05-09 |
| 1255410064 | Sunia Abdula-lessing | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-11-03 |
| 1497832000 | Louis Edward Perraut | Ophthalmology | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481033 | Christopher Lynn Cornwell | Specialist | 5732 Buckeystown Pike Ste 14, Frederick, MD 21704-5208 | 2017-11-21 |
| 1598134066 | Shana Oshiro | Specialist | 1301 Dogwood Dr, Frederick, MD 21701-5020 | 2015-09-15 |
| 1407095227 | Neurodiagnostics Ceneters, LLC | Specialist | 7226 Corporate Ct, Frederick, MD 21703-8386 | 2009-02-18 |
| 1184817512 | Frederick Medical & Pulmonary Assoc | Specialist | 7115 Guilford Drive #202, Frederick, MD 21704 | 2007-08-20 |
| 1801960935 | Center for Chest Disease LLC | Specialist | 501 W 7th St Ste D, Frederick, MD 21701-4589 | 2006-11-20 |
| 1073682027 | Arnold O Lankford | Specialist | 1200 Baker Place, South, Frederick, MD 21702 | 2006-11-06 |
| 1467562371 | Mudusar I Raza | Specialist | 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 | 2006-08-30 |
| 1386752806 | Yassin Mohamed | Specialist | 300 W Ninth St, Frederick, MD 21701-4541 | 2006-08-25 |
| 1164442406 | Robert Kirk Jackson | Specialist | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2006-07-20 |
| 1326008582 | Prafull K Dave | Specialist | 188 Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2006-03-23 |
| Find all providers in FREDERICK | ||||
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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.