Jacob J Koczman (NPI# 1194988980, PAC ID# 9133384258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1194988980 |
| PAC ID by PECOS | 9133384258 |
| Professional Enrollment ID | I20160927002734 |
| Full Name | Jacob J Koczman |
| Organization Legal Name | COLORADO CATARACT AND LASER, LLC |
| Address |
1411 S Potomac St Suite 140 Aurora CO 80012-4537 |
| Phone Number | 3033373937 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7113171596 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060100 | AURORA SOUTH HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1411 S Potomac St, Suite 140, Aurora, CO 80012-4537 | 3033373937 | COLORADO CATARACT AND LASER, LLC |
| 9399 Crown Crest Blvd, Suite 120, Parker, CO 80138-8507 | 3033373937 | COLORADO CATARACT AND LASER, LLC |
| Organization Legal Name | COLORADO CATARACT AND LASER, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas J Pethe | Optometry | Colorado Cataract and Laser, LLC | 1411 S Potomac St, Suite 140, Aurora, CO 80012-4537 |
| Jennifer M Grin | Ophthalmology | Colorado Cataract and Laser, LLC | 1411 S Potomac St, Suite 140, Aurora, CO 80012-4537 |
| Street Address |
1411 S POTOMAC ST SUITE 140 |
| City | AURORA |
| State | CO |
| Zip | 80012-4537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip A Stull | Orthopedic Surgery | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 400 Colorado Orthopedic Consultants, Aurora, CO 80012-4540 |
| Kilsan Koh | General Surgery | 1411 S Potomac St, Suite 320, Aurora, CO 80012-4539 | |
| Timothy Abbott | Physician Assistant | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 400 Colorado Orthopedic Consultants, Aurora, CO 80012-4540 |
| Gary Ghiselli | Orthopedic Surgery | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 400 Colorado Orthopedic Consultants, Aurora, CO 80012-4540 |
| Rebecca J Bontrager | Physician Assistant | Colorado Orthopedic Consultants PC | 1411 S Potomac St, Suite 400, Aurora, CO 80012-4540 |
| Stephen Pehler | Orthopedic Surgery | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 400 Colorado Orthopedic Consultants, Aurora, CO 80012-4540 |
| Ethan Young | Physical Therapy | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 350 Coc Arapahoe Sports Medicine and Rehab, Aurora, CO 80012-4543 |
| Michael Scott Hewitt | Orthopedic Surgery | Orthopedic Centers of Colorado LLC | 1411 S Potomac St, 400 Colorado Orthopedic Consultants, Aurora, CO 80012-4540 |
| Douglas J Pethe | Optometry | Colorado Cataract and Laser, LLC | 1411 S Potomac St, Suite 140, Aurora, CO 80012-4537 |
| Jitendar S Rao | Nephrology | Denver Nephrologists PC | 1411 S Potomac St, Suite 200, Aurora, CO 80012-4538 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yahdi D Cotto-jorge | Chiropractic | 14261 E Cedar Ave, Unit B, Aurora, CO 80012-1431 | |
| Anthony K Hasselbach | Diagnostic Radiology | Smi Imaging LLC | 14301 E Cedar Ave, Unit E, Aurora, CO 80012-1433 |
| James I Piko | Diagnostic Radiology | Smi Imaging LLC | 14301 E Cedar Ave, Unit E, Aurora, CO 80012-1433 |
| Loren K Laughlin | Psychologist, Clinical | 390 S Potomac Way, Suite C, Aurora, CO 80012-2491 | |
| Deborah J Neisen | Clinical Social Worker | 390 S Potomac Way, Suite C, Aurora, CO 80012-2491 | |
| Karen M Kuenning | Optometry | 14200 E Alameda Ave, Unit 2013, Aurora, CO 80012-2508 | |
| Alexander H Zimmer | Neurology | 14111 E Alameda Ave, Suite 200, Aurora, CO 80012-2509 | |
| Cecilia Billings | Optometry | 142000 E Alameda Ave, Suite 1029, Aurora, CO 80012-2518 | |
| Melissa Puzzo | Optometry | Family First Vision Care LLC | 14200 E Alameda Ave, Suite 1029, Aurora, CO 80012-2518 |
| Sangyong Shin | Physical Therapy | 13901 E Exposition Ave, Suite 200, Aurora, CO 80012-2552 | |
| Find all physicians in zip 80012 | |||
| City | AURORA |
| Zip Code | 80012 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | AURORA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jacob J Koczman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.