DR. GREGORIO KOSS (NPI# 1548487655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548487655 |
| Entity Type | Individual |
| Full Name | DR. GREGORIO KOSS |
| Credential | M.D.,FACC. |
| Practice Address |
2424 Reedie Dr 122 Wheaton MD 20902-4624 |
| Mailing Address |
10404 Strathmore Park Ct 305 North Bethesda MD 20852-3393 |
| Practice Telephone | 3019626173 |
| Practice Fax Number | 3019625733 |
| Mailing Telephone | 3019878326 |
| Mailing Fax Number | 3019878327 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0016145 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA REGISTRATION NUMBER | FK 0022032 | 01 |
| MD | CDS REGISTRATION NUMBER | M14876 | 01 |
| MD | LICENSE CERTIFICATION N | D0016145 | 01 |
| Street Address |
2424 REEDIE DR 122 |
| City | WHEATON |
| State | MD |
| Zip Code | 20902-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871600288 | Maria R Peko-rios | Psychiatry & Neurology | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-08-23 |
| 1023393469 | David Michael Goodman | Social Worker | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2011-10-17 |
| 1316241441 | Mclmhp Inc Proyecto Salud | Clinic/Center | 2424 Reedie Dr, Suite 125, Wheaton, MD 20902-4624 | 2011-01-04 |
| 1104946482 | Montgomery County Maryland Government | Clinic/Center | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2007-03-30 |
| 1588725022 | Harold J Fruchter | Physician Assistant | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-12-12 |
| 1689747974 | Mary Patricia Lazarek | Nurse Practitioner | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-11-16 |
| 1235217233 | Lidia Ruth Carnota | Psychiatry & Neurology | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-11-01 |
| 1689761066 | Anabelle Pollock | Social Worker | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-06 |
| 1417043167 | Guillermo Olguin Olivos | Psychiatry & Neurology | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-04 |
| 1811081870 | Doina Adam | Counselor | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-03 |
| Find all providers in the same location | ||||
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| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| 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. |
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| 1245451954 | Carmen Peter Digiovine | Specialist | 1119 E Illinois St, Wheaton, IL 60187-5746 | 2007-05-01 |
| 1588676027 | Wajeed Khan | Specialist | 12016 Georgia Ave, Wheaton, MD 20902-2004 | 2006-08-13 |
| 1336173509 | Illinois Urological Institute | Specialist | 311 South County Farm Road, Suite B, Wheaton, IL 60187 | 2006-07-11 |
| 1184657942 | Michael Rashid | Specialist | 311 S County Farm Rd, Ste B, Wheaton, IL 60187-2477 | 2006-07-07 |
| Find all providers in WHEATON | ||||
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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.