MR. BENJAMIN JOHN KOZLOSKI


Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: 9203611313

MR. BENJAMIN JOHN KOZLOSKI (NPI# 1841814472) 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) 1841814472
Entity Type Individual
Full Name MR. BENJAMIN JOHN KOZLOSKI
Credential CRNA
Practice Address 225 Memorial Dr
Berlin
WI 54923-1243
Mailing Address 2957 Brighton Pl
Green Bay
WI 54311-6693
Practice Telephone 9203611313
Mailing Telephone 9205622790
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 041407585 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 225 MEMORIAL DR
City BERLIN
State WI
Zip Code 54923-1243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962403832 M Jean Bruce Family Medicine 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 2005-08-02
1003439720 Courtney Disterhaft Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2020-05-28
1457911984 Nolan S Baker Speech-Language Pathologist 225 Memorial Dr, Berlin, WI 54923-1243 2019-06-17
1477043313 Lina D Ramos Registered Nurse 225 Memorial Dr, Berlin, WI 54923 2018-05-16
1891291167 Northeast Wisconsin Foot and Ankle Assoc., S.c. Podiatrist 225 Memorial Dr, Berlin, WI 54923-1243 2018-04-04
1437606373 Sherry Lynn Reinsbach Occupational Therapy Assistant 225 Memorial Dr, Berlin, WI 54923-1243 2016-09-08
1528513272 Jessica M Braun Physical Therapy Assistant 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-23
1326592270 Brandon Eric Mcmullen Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-09
1508310467 Marissa Marie Schleis Physical Therapist 225 Memorial Dr, Berlin, WI 54923-1243 2016-08-09
1558814764 Emily T Engelke Dietitian, Registered 225 Memorial Dr, Berlin, WI 54923-1243 2016-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910067 Mary Ellen F Pumper Pharmacist 861 County Rd F, Berlin, WI 54923 2020-10-21
1962020792 Brown Wilcox Trustees, Inc. Home Health 347 East Huron Street, Berlin, WI 54923 2020-07-08
1083050942 Veterinary Clinic Berlin/ripon Veterinarian W1915 Cty Road F, Berlin, WI 54923 2013-05-20
1114078243 David Earl Johanknecht Optometrist 269 Memorial Dr, Suite 103, Berlin, WI 54923 2007-01-16
1043314677 William Harold Hastreiter Dentist 102 W Huron St, Berlin, WI 54923 2006-09-12
1699725333 Kurt Alan Zemke Dentist 280 South Church St, Berlin, WI 54923 2006-05-11
1942280821 Dina N Nelson Nurse Anesthetist, Certified Registered 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 2006-01-18
1679574453 Craig Batley Family Medicine W832 Hwy 91, Suite 3, Berlin, WI 54923 2005-08-03
1760887392 Waushara Dental Associate Sc Dentist 322 Broadway, Berlin, WI 54923 2014-10-24
1750673513 Kristy E Wagner Occupational Therapy Assistant 225 Memorial Drive, Berlin, WI 54923 2011-05-11
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285030452 Garner Anesthesia Services LLC Nurse Anesthetist, Certified Registered 254 E Marquette St, Berlin, WI 54923-1298 2014-11-14
1871845552 Jessica Skvarch Hadley Nurse Anesthetist, Certified Registered 46 White Sail Cir, Berlin, MD 21811-1514 2012-10-05
1942280821 Dina N Nelson Nurse Anesthetist, Certified Registered 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 2006-01-18
1013399047 Jessica Jo Tomasiewicz Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2015-06-26
1104229129 Luc G Corriveau Nurse Anesthetist, Certified Registered 59 Page Hill Rd, Berlin, NH 03570 2014-10-04
1265841589 Mary C Phung Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2014-08-12
1972807436 Julie Erickson Nurse Anesthetist, Certified Registered 59 Page Hill Rd, Berlin, NH 03570 2010-12-27
1306825054 Kristin Louise Koch Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2006-01-11
1033190988 Tony D Singh Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2005-11-08
1104813047 Keith Anthony Krause Nurse Anesthetist, Certified Registered 225 Memorial Dr, Berlin, WI 54923-1243 2005-10-05
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Competitor

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City BERLIN
Zip Code 54923

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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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