LAWRENCE KOSS (NPI# 1790884666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790884666 |
| Entity Type | Individual |
| Full Name | LAWRENCE KOSS |
| Credential | MD |
| Practice Address |
3045 East Ave Lifetime Health Center Building Central Square NY 13036-9502 |
| Mailing Address |
7277 Snowball Run East Syracuse NY 13057-3212 |
| Practice Telephone | 3156681202 |
| Mailing Telephone | 3156562698 |
| Mailing Fax Number | 2064262313 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 208062 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355266 | 05 |
| Street Address |
3045 EAST AVE LIFETIME HEALTH CENTER BUILDING |
| City | CENTRAL SQUARE |
| State | NY |
| Zip Code | 13036-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255833109 | Anton Chertkovsky | Physician Assistant | 3045 East Ave, Central Square, NY 13036 | 2018-03-07 |
| 1003364977 | Aaron Jannetti | Physician Assistant | 3045 East Ave, Central Square, NY 13036-2611 | 2016-09-20 |
| 1720455322 | Cassandra Hunsberger | Nurse Practitioner | 3045 East Ave, Central Square, NY 13036-2611 | 2015-08-31 |
| 1669721296 | Port City Emergency Physicians LLP | Emergency Medicine | 3045 East Ave, Central Square, NY 13036-9502 | 2012-08-29 |
| 1518271857 | Renato Y Mandanas Md Pllc | Family Medicine | 3045 East Ave, Lifetime Health Center Building, Central Square, NY 13036-9502 | 2010-07-28 |
| 1861715526 | Richard Robinson | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2010-03-10 |
| 1114113230 | Central Square Family Chiropractic, PC | Chiropractor | 3045 East Ave, Central Square, NY 13036-9502 | 2007-09-21 |
| 1114051430 | Genesee Valley Group Health Association | Durable Medical Equipment & Medical Supplies | 3045 East Ave, Central Square, NY 13036-9502 | 2007-03-16 |
| 1306906235 | Kathleen Ann Ventura | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2006-12-11 |
| 1336209410 | Timothy Shawn Pierce | Pharmacist | 3045 East Ave, Central Square, NY 13036-9502 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780101220 | Tamara Lynn Keys | Licensed Practical Nurse | 344 Hickory Lane, Central Square, NY 13036 | 2017-08-25 |
| 1750756169 | Whitney Lorena Hyde | Registered Nurse | 1292 County Route 11, Central Square, NY 13036 | 2015-12-10 |
| 1083097919 | Podiatry Services of Central New York, PC | Podiatrist | 2187 County Rte. 12, Central Square, NY 13036 | 2015-07-09 |
| 1427378371 | Kathleen Rose Schad | Licensed Practical Nurse | 106 Michael's Way, Central Square, NY 13036 | 2010-06-02 |
| 1518299718 | Lorie Giamartino | Pharmacist | 537 South Main Street, Central Square, NY 13036 | 2010-02-12 |
| 1255569646 | Allison Amy Bronner | Physical Therapist | 124 U.S. Route 11, Central Square, NY 13036 | 2009-06-24 |
| 1467645309 | Jo Anne Tryon | Licensed Practical Nurse | 12 Rust Memorial, Central Square, NY 13036 | 2007-08-23 |
| 1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
| 1356326649 | Richard A Frio | Optometrist | 3248 Fulton Ave, Central Square, NY 13036 | 2005-12-09 |
| 1851896567 | Central Square Smiles Dentistry | Dentist | 653 S Main St, Central Square, NY 13036 | 2018-03-26 |
| Find all providers in zip 13036 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518271857 | Renato Y Mandanas Md Pllc | Family Medicine | 3045 East Ave, Lifetime Health Center Building, Central Square, NY 13036-9502 | 2010-07-28 |
| 1285735027 | Vandana Bhanudas Patil | Family Medicine | 3045 East Ave, Central Square, NY 13036-9502 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL SQUARE |
| Zip Code | 13036 |
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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.