DR. NICHOLAS A. KOZLOV (NPI# 1912992975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912992975 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS A. KOZLOV |
| Credential | M.D. |
| Practice Address |
620 10th Street N. St Petersburg FL 33705-1407 |
| Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
| Practice Telephone | 7278247116 |
| Practice Fax Number | 7278247177 |
| Mailing Telephone | 7278248357 |
| Mailing Fax Number | 7278243132 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME45033 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 069464900 | 05 |
| Street Address |
620 10TH STREET N. |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363836 | Raquelle Alexander | Allergy & Immunology | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-08-16 |
| 1033474184 | Lataura Atwell-small | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2012-07-05 |
| 1639478589 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 620 10th Street N., St Petersburg, FL 33705-1407 | 2011-03-17 |
| 1245466093 | Timi Donn Maloney | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2009-06-08 |
| 1194986281 | Amy Bolton Koenig Strickland | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2008-06-20 |
| 1255536702 | Vicki Marie Connell | Audiologist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-06-15 |
| 1083759849 | Roger Covey | Physical Therapist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-02-20 |
| 1528153392 | Richard F. Blanchard | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-10-04 |
| 1982683678 | Mihaela Soran | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-01-11 |
| 1417943598 | Mark W. Smith | Optometrist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821191 | Kavitha Tipirneni Waggoner | Internal Medicine | 500 Trinity Ln N, Apt 8201, St Petersburg, FL 33716-1215 | 2011-07-12 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1588621908 | Robert H Wharton Jr. | Internal Medicine | 4855 1st Ave N, St Petersburg, FL 33713-8107 | 2006-04-28 |
| 1962467910 | Joseph Alfred Boulay Jr. | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2006-04-20 |
| 1831150408 | Ernst Bontemps | Internal Medicine | 7017 Central Ave, St Petersburg, FL 33710 | 2006-03-31 |
| 1255717641 | St Petersburg Gastroenterology Associates LLC | Internal Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-08-07 |
| 1295058550 | Joseph A Boulay Jr Md Pa | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2010-03-01 |
| 1346371085 | Abhitabh Patil | Internal Medicine | 3901 66th St N, Suite 201, St Petersburg, FL 33709-4949 | 2007-03-07 |
| 1619900248 | Center for Digestive Diseases Pa | Internal Medicine | 1609 Pasadena Ave S, Ste 3m, St Petersburg, FL 33707-4563 | 2006-07-08 |
| 1780640714 | Kakuturu Lakshminarasa Reddy | Internal Medicine | 5767 49th St N, Ste A, St Petersburg, FL 33709-2107 | 2006-04-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on DR. NICHOLAS A. KOZLOV.
| 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.