DR. KOTESWARA RAO KAZA (NPI# 1679585046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679585046 |
| Entity Type | Individual |
| Full Name | DR. KOTESWARA RAO KAZA |
| Credential | M.D. |
| Practice Address |
104 Javit Ct Austintown OH 44515-2409 |
| Mailing Address |
47767 Tomahawk Dr Negley OH 44441-9726 |
| Practice Telephone | 3307974050 |
| Practice Fax Number | 3309531758 |
| Mailing Telephone | 3302272822 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
35042814 | OH | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-042814 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0390465 | 05 |
| Street Address |
104 JAVIT CT |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454390 | Jessica Repucci | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-10-13 |
| 1710584974 | Shelby Esenwein | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-10-01 |
| 1215544721 | Crystal Chantal Mellon | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-09-29 |
| 1992312409 | Jorden Amillia Snyder | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-09-29 |
| 1770199705 | Madeline Jeanne Cottrill | Counselor | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-09-16 |
| 1508470733 | Nikki Davis | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-09-04 |
| 1982214094 | Charity White | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-08-04 |
| 1326658600 | Brittany Shante Scurry | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-08-03 |
| 1134739394 | Olivia Hostetler | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-08-03 |
| 1831717065 | Latia Lynn Leapline | Case Manager/Care Coordinator | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493251 | Holly Mycroft | Psychiatry & Neurology | 5603 Congressional Pl Apt F, Hilliard, OH 43026-4308 | 2020-09-29 |
| 1770108698 | Christine Yammarino | Psychiatry & Neurology | 24700 Lorain Rd Ste 303, North Olmsted, OH 44070-2069 | 2020-06-16 |
| 1669003281 | James Roger Nicholas | Psychiatry & Neurology | 11170 Maple Knoll Ter Unit L215, Cincinnati, OH 45246-4154 | 2020-02-02 |
| 1407406697 | New Life Ketamine Clinic LLC | Psychiatry & Neurology | 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459-3856 | 2019-09-19 |
| 1164081063 | Reynolds Behavioral Health LLC | Psychiatry & Neurology | 1649 N Reynolds Rd, Toledo, OH 43615-3625 | 2019-06-13 |
| 1326509217 | Marian Louise Brown | Psychiatry & Neurology | 14877 Stonehaven Dr, Perrysburg, OH 43551-9537 | 2019-03-25 |
| 1912470303 | Alleviant of Akron | Psychiatry & Neurology | 1000 S Cleveland Massillon Rd Ste 1, Akron, OH 44333-9204 | 2019-01-08 |
| 1710456025 | Wissam Hoteit Md LLC | Psychiatry & Neurology | 4841 Yosemite Pkwy, Sylvania, OH 43560-4341 | 2018-11-15 |
| 1215435367 | Psychiatric Services of Toledo, Inc | Psychiatry & Neurology | 2204 N Reynolds Rd, Toledo, OH 43615-2814 | 2018-01-23 |
| 1720508146 | Keystone Psychiatry, Inc. | Psychiatry & Neurology | 5920-e Wilcox Pl, Dublin, OH 43016-6802 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
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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.