RONALD J. KOSSOW


Address: 3700 Southern Blvd Ste 101, Kettering, OH 45429-1226
Phone: 9372813810

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810011126 05
PA 1018952570001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3535 Southern Blvd, Kettering, OH 454291221 9373958646 9375228100

Office Location

Street Address 3700 SOUTHERN BLVD STE 101
City KETTERING
State OH
Zip Code 45429-1226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902169956 Anthony Joseph Paravati Radiology 3700 Southern Blvd Ste 101, Kettering, OH 45429-1226 2012-06-23

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City KETTERING
Zip Code 45429

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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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