RANDY B KOZEL (NPI# 1699775486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699775486 |
| Entity Type | Individual |
| Full Name | RANDY B KOZEL |
| Credential | MD |
| Practice Address |
112 Clock Tower Square Portsmouth RI 02871-1365 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 4016839002 |
| Practice Fax Number | 4012930330 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2013-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD07702 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RK51170 | 05 | |
| RAILROAD MEDICARE | P00130048 | 01 | |
| CIGNA HEALTHCARE | 9227027 | 01 | |
| AETNA US HEALTHCARE | 3396039 | 01 | |
| RI | BLUE SHIELD | 0000026648 | 01 |
| TUFTS HEALTH PLAN | 007702 | 01 | |
| RI | NEIGHBORHOOD HEALTH PLAN | 1208 | 01 |
| HARVARD PILGRIM | AA92335 | 01 |
| Street Address |
112 CLOCK TOWER SQUARE |
| City | PORTSMOUTH |
| State | RI |
| Zip Code | 02871-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
| 1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
| 1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
| 1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
| 1760660773 | Susan Mandrachia Killebrew | Social Worker | 107 Clock Tower Square, Portsmouth, RI 02871 | 2008-02-01 |
| 1235348335 | East Bay Endoscopy Center LLC | Clinic/Center | 109 Clock Tower Square, Portsmouth, RI 02871 | 2007-05-22 |
| 1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
| 1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
| 1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
| Find all providers in zip 02871 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| 1225343742 | Karen P. Lauze, LLC | Psychiatry & Neurology | 875 Greenland Rd Suite B4, Portsmouth, NH 03801 | 2010-08-09 |
| 1093998676 | Randy Kozel Md | Psychiatry & Neurology | 112 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2007-12-06 |
| 1619178621 | Angela Rackley | Psychiatry & Neurology | 1711 27th St Ste 103a, Portsmouth, OH 45662-2654 | 2007-05-29 |
| 1043269434 | Augusto C Juguilon | Psychiatry & Neurology | 1711 27th St # 103a, Portsmouth, OH 45662-2654 | 2006-05-10 |
| 1376539098 | Patricia A Locuratolo | Psychiatry & Neurology | 875 Greenland Rd, Suite B4-5, Portsmouth, NH 03801-4164 | 2005-09-27 |
| 1598762551 | Grace A. Medeiros | Psychiatry & Neurology | 2444 E Main Rd, Portsmouth, RI 02871-4025 | 2005-07-06 |
| 1396199105 | Stephen Nnodim Jr. | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-04-18 |
| 1740675503 | Sarah Emily Woodson Smith | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-03-30 |
| 1588088769 | Aaron Daley | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2014-02-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 02871 |
Please comment or provide details below to improve the information on RANDY B KOZEL.
| 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.