DR. GUS A KOTSANIS (NPI# 1457578254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578254 |
| Entity Type | Individual |
| Full Name | DR. GUS A KOTSANIS |
| Other Name | CONSTANTINE A KOTSANIS |
| Credential | M.D. |
| Practice Address |
2020 W State Highway 114 Suite 260 Grapevine TX 76051-8649 |
| Practice Telephone | 8174816342 |
| Practice Fax Number | 8174424848 |
| Mailing Telephone | 8174816342 |
| Mailing Fax Number | 8174424848 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
G5951 | TX | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
G5951 | TX | Allopathic & Osteopathic Physicians |
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
G5951 | TX | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
G5951 | TX | Allopathic & Osteopathic Physicians |
| N | 209800000X | Legal Medicine | G5951 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2020 W STATE HIGHWAY 114 SUITE 260 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-8649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988999 | Betsy B Dodson | Physician Assistant | 2020 W State Highway 114, Suite 300, Grapevine, TX 76051-8649 | 2005-11-08 |
| 1154661353 | Lisa Buckingham Darr | Physician Assistant | 2020 W State Highway 114, Suite 110, Grapevine, TX 76051-8649 | 2013-02-25 |
| 1487946448 | Wellness and Aesthetics Institute, Pa | Allergy & Immunology | 2020 W State Highway 114, Suite 260, Grapevine, TX 76051-8649 | 2011-05-10 |
| 1174826606 | Renee Mary Mathew | Physician Assistant | 2020 W State Highway 114, Suite 110, Grapevine, TX 76051-8649 | 2010-12-06 |
| 1477887313 | J. David Thompson | Orthopaedic Surgery | 2020 W State Highway 114, Suite 110, Grapevine, TX 76051-8649 | 2009-09-24 |
| 1285868372 | North Texas Sports and Orthopedic Center, Pllc | Orthopaedic Surgery | 2020 W State Highway 114, Suite 110, Grapevine, TX 76051-8649 | 2009-05-05 |
| 1497928709 | Morris Duane Allred Jr. | Physician Assistant | 2020 W State Highway 114, Suite 340, Grapevine, TX 76051-8649 | 2008-04-08 |
| 1538345392 | Paul Joshua Boerger | Nurse Practitioner | 2020 W State Highway 114, Grapevine, TX 76051-8649 | 2008-01-11 |
| 1487775177 | Neurology Seizure & Sleep Clinic | Clinic/Center | 2020 W State Highway 114, Suite 310, Grapevine, TX 76051-8649 | 2007-04-02 |
| 1134262256 | Nancy K. Farrar | Physician Assistant | 2020 W State Highway 114, Suite 300, Grapevine, TX 76051-8649 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381690 | Ear, Nose, Throat and Allergy Clinic Pllc | Otolaryngology | 4140 Southwest Fwy Ste 510, Houston, TX 77027-7311 | 2008-10-16 |
| 1891983086 | Richard L Mabry | Otolaryngology | 1115 Redman Ln, Duncanville, TX 75137-2035 | 2007-10-12 |
| 1083825467 | Seth H Evans | Otolaryngology | 1180 Seton Parkway, Suite 330, Kyle, TX 78640-6179 | 2007-05-25 |
| 1306945704 | George Ray Vieyra | Otolaryngology | 8501 Timber Crest St, San Antonio, TX 78250-4408 | 2006-09-22 |
| 1548277882 | David John Bailey | Otolaryngology | 1105 W Frank Ave Ste 260, Lufkin, TX 75904-3340 | 2006-08-01 |
| 1891113338 | Ear, Nose, Throat & Allergy Clinic of Dallas | Otolaryngology | 5952 Royal Ln Ste 120, Dallas, TX 75230-7847 | 2014-04-02 |
| 1558680454 | David J. Bailey, M.d., Pa | Otolaryngology | 1111 W Frank Ave, Ste. 301, Lufkin, TX 75904-3303 | 2010-05-18 |
| 1255590618 | Dick Barlow Mdpa | Otolaryngology | 2935 Park Plaza Ln, Port Arthur, TX 77642-5516 | 2008-06-02 |
| 1154503308 | Joshua C. James | Otolaryngology | 8080 State Highway 121, Ste 120, Mckinney, TX 75070-2901 | 2007-11-29 |
| 1598884645 | John P Shea Md Pa | Otolaryngology | 11797 South I-35 W, # 132, Burleson, TX 76028-7035 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
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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.