David R Koris, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-001635 Issued in OH

Practice address

29099 Health Campus Dr
Suite 345
Westlake, OH 44145-5200

Phone

(440) 835-6122

Fax

(440) 899-4355

NPI assigned

Nov 16, 2005

Sex

Male

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

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1073595963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE 345",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6122",
            "fax_number": "440-899-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE 345",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6122",
            "fax_number": "440-899-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIS",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-001635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073595963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin M Koliha, LISW
• Jason Jon Komitau, M.D.
• Margaret Alma Konecky, D.P.M.
• Reiley Konschak
• Robert M Konstan, M.D.
• Mary W Kortan, PA-C
• Katelyn Elizabeth Kosileski, DDS
• Sophia Kosmides
• Vernaann M Kotansky
• Kimberly Kotik, LPCC

• Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.