RONALD J. KOSSOW (NPI# 1710972849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710972849 |
| Entity Type | Individual |
| Full Name | RONALD J. KOSSOW |
| Credential | MD |
| Practice Address |
3700 Southern Blvd Ste 101 Kettering OH 45429-1226 |
| Mailing Address |
Po Box 713100 Salt Lake City UT 84171-3100 |
| Practice Telephone | 9372813810 |
| Practice Fax Number | 9372813812 |
| Mailing Telephone | (801) 930-3842 |
| Mailing Fax Number | 8665882820 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35130569 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD070743L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810011126 | 05 | |
| PA | 1018952570001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958646 | 9375228100 |
| Street Address |
3700 SOUTHERN BLVD STE 101 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902169956 | Anthony Joseph Paravati | Radiology | 3700 Southern Blvd Ste 101, Kettering, OH 45429-1226 | 2012-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008679 | Aimee George Russell | Radiology | 3700 Southern Blvd., Suite 101, Kettering, OH 45429-1226 | 2006-06-07 |
| 1902169956 | Anthony Joseph Paravati | Radiology | 3700 Southern Blvd Ste 101, Kettering, OH 45429-1226 | 2012-06-23 |
| 1457618548 | Vijay Kudithipudi | Radiology | 3700 Southern Blvd, Ste. 101, Kettering, OH 45429-1226 | 2012-04-13 |
| 1790067197 | Alliance Physician Inc | Radiology | 3535 Southern Blvd, Radiation Oncology, Kettering, OH 45429-1221 | 2011-09-13 |
| 1710938220 | Edward Hughes | Radiology | 2632 Woodman Center Ct, Kettering, OH 45420-1477 | 2006-05-12 |
| 1205886512 | Donald Marger | Radiology | 2632 Woodman Center Ct, Kettering, OH 45420-1477 | 2006-05-10 |
| 1437130796 | E. Ronald Hale | Radiology | 3535 Southern Blvd, Radiation Oncology Dept., Kettering, OH 45429-1221 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
| 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.