Deborah A Koschak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0001709 Issued in CO

Practice address

3205 N Academy Blvd
Colorado Springs, CO 80917-5147

Phone

(719) 776-3216

Fax

(719) 776-3220

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Urgent Care Associates, P.C.

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1841551967
  NPD (past)
• Front Range Emergency Specialists, PC

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1538233234
  NPD (past)
• Quantum Plus LLC

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1235188962

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1023095015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175147",
            "telephone_number": "719-776-3216",
            "fax_number": "719-776-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175147",
            "telephone_number": "719-776-3216",
            "fax_number": "719-776-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHAK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74278851",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret A Kort, MD
• Lisa Ann Korte, MSW
• Alyssia Kortie, RBT
• James A Kortus, MBA PHARMD
• Melanie Ann Korum, MA
• Immaculate Jemaiyo Kosgei, PTA
• Beth Kosiba
• Kimberley Kosik, MS
• Georgia Koski
• Lisa Kosley

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.