Brodkohutiak&Jamaliltd

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD011593E Issued in PA

Legal business name

BRODKOHUTIAK&JAMALILTD

Practice address

1098 W Baltimore Pike
Suite 3311
Media, PA 19063-5139

Phone

(610) 565-7810

Fax

(610) 565-0546

NPI assigned

Oct 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Marie Turturici

Title

Office Manager

Phone

(601) 565-7810

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vsevolod Kohutiak, MD

  • Internal Medicine Physician
  • Media, PA
  • NPI 1366410854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1013092212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITR 3311",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-7810",
            "fax_number": "610-565-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3311",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-7810",
            "fax_number": "610-565-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODKOHUTIAK&JAMALILTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "TURTURICI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-565-7810"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD011593E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Breslin, PSY.D.
• Brian Crispell D.P.M
• Beada Briglia
• Naomi Brinton, PSY.D.
• Ellen Brock, LCSW
• Ryan Brooke
• A'Sha Mable Brown, M.D.
• Andrew C Brown, DO
• Ann Curran Brown, PHYSICIAN ASSISTANT
• Charisse Jesette Brown, CRNA

• Internal Medicine Physician in Media, PA
• Providers in Media, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.