MR. ERIC JON KOZLOW


Address: 120 Davis St, Asheboro, NC 27203
Phone: 3366295770

MR. ERIC JON KOZLOW (NPI# 1710943790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710943790
Entity Type Individual
Full Name MR. ERIC JON KOZLOW
Credential MD
Practice Address 120 Davis St
Asheboro
NC 27203
Mailing Address 100 Westwood Avenue
High Point
NC 27262-4320
Practice Telephone 3366295770
Practice Fax Number 3366290130
Mailing Telephone 3368831393
Mailing Fax Number 3368837517
Enumeration Date 2006-04-26
Last Update Date 2010-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 9500975 NC Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 9500975 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE ID 2217701B 01
NC 8950259 05
NC GROUP NPI 1235298589 01
NC BCBS 50259 01
UNITED HEALTHCARE 0202020 01
NC MEDICARE ID 2217701A 01

Office Location

Street Address 120 DAVIS ST
City ASHEBORO
State NC
Zip Code 27203

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1912429705 Julie Yates Allsbrook Pharmacist 363 Sunset Avenue, Asheboro, NC 27203 2017-07-12
1932651452 Joshua Knight Physician Assistant 197 Nc-42, Asheboro, NC 27203 2016-11-01
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528689858 Allergy Partners of Texas, Inc Allergy & Immunology 1978 Hendersonville Rd # 130a, Asheville, NC 28803-7766 2020-04-28
1033584917 Allergy Partners, Pllc Allergy & Immunology 420 Mocksville Ave, Salisbury, NC 28144-2712 2015-12-03
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1336528322 Bailee Hill Gilchrist Allergy & Immunology 2600 E 7th St Unit A, Charlotte, NC 28204-4398 2015-05-22
1902217565 Anusha Vadlamudi Allergy & Immunology 1017 Ashes Dr Ste 206, Wilmington, NC 28405-8308 2014-05-16
1386089902 Kathleen Y Wang Allergy & Immunology 2801 Blue Ridge Road, Allergy and Immunology, Ground Floor, Raleigh, NC 27607 2013-05-09
1659714319 Jamie Waldron Allergy & Immunology 450 Macnider Hall Cb 7217, Chapel Hill, NC 27599-7101 2013-04-12
1952646499 Susan M Bottone Allergy & Immunology 709 5th Ave W, Hendersonville, NC 28739-4101 2012-12-11
1558639864 Private Diagnostic Clinic, Pllc Allergy & Immunology 30 Duke Medicine Circle, Durham, NC 27710-3000 2011-12-01
1497075659 Lorena Rocha Wilson Allergy & Immunology 19 Sangre De Cristo Dr, Durham, NC 27705-2872 2010-06-09
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Competitor

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City ASHEBORO
Zip Code 27203

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Dataset Information

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.

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