Jerome Koser DO PA

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

OS2430 Issued in FL

Legal business name

JEROME KOSER DO PA

Practice address

2349 Sunset Point Rd
Unit 403
Clearwater, FL 33765-1439

Phone

(727) 796-8600

Fax

(727) 796-8660

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Jerome Koser

Title

Owner - Provider

Phone

(727) 796-8600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1023020427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20126",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220126",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 SUNSET POINT RD",
            "address_2": "UNIT 403",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651439",
            "telephone_number": "727-796-8600",
            "fax_number": "727-796-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME KOSER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KOSER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER - PROVIDER",
        "authorized_official_telephone_number": "727-796-8600"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS2430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.