David J Kosiorek, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101567 Issued in FL

Practice address

8220 US 19 North
Port Richey, FL 34668

Phone

(727) 841-8505

Fax

(727) 846-0561

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lumen Dermatology LLCGroup PAC ID 6901322544, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Lumen Dermatology LLC

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1235938341
  Medicare reassignment Care Compare group Authorized official
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  Medicare reassignment
• John Cottam MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982860045
  Medicare reassignment
• Michael J Freeman MD PA

  • Dermatology Physician
  • Ocala, FL
  • NPI 1801083589
  Medicare reassignment
• Nosky P.a.

  • Dermatology Physician
  • Poinciana, FL
  • NPI 1609215912
  Medicare reassignment
• John Cottam MD PA

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1215603337
  NPD
• John Cottam MD PA

  • Dermatology Physician
  • Chiefland, FL
  • NPI 1437871548
  NPD

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1083604144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIOREK",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwina Alexandria Kennedy, MA
• Khoi X Dam MD PA
• Alfredo Pineda Kiernan, MD
• Kingdom Sons Legacy House Corp
• Andreas Key Kinzie, MSW, PLCSW
• Kratz Allergy Asthma & Immunology Associates PA
• Jaime Kratz, MD
• Michael E Krutchik, DO
• Kathleen A Kulesa
• Liliana Mildres Labrada Dominguez, COTA/L

• Physician Assistant in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.