Active NPI
Matthew Kozminski DO PLLC
- Neurology Physician
- Tarentum, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MATTHEW KOZMINSKI DO PLLC
- Practice address
- 215 E 1St Ave
Tarentum, PA 15084-1765 - Phone
- (724) 749-4118
- Fax
- (724) 202-0394
- NPI assigned
- Sep 23, 2020
- Last updated
- Sep 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Kozminski, DO
- Title
- Director
- Phone
- (814) 330-5061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
215 E 1St Ave
Tarentum, PA 15084-1765
Mailing address
238 Bear Creek Rd
Prospect, PA 16052-3204
Phone (814) 330-5061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649303108 | Other | PA | INDIVIDUAL PROVIDER |
National Provider Directory
National Provider DirectoryLocations
985 Penn St
Brackenridge, PA 15014
Phone (724) 226-9960
215 E 1st Ave
Tarentum, PA 15084
Phone (724) 226-9960
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Tarentum, PA
- NPI 1649303108
-
- Family Nurse Practitioner
- Greensburg, PA
- NPI 1740843564
-
- Neurology Physician
- Brackenridge, PA
- NPI 1902807845
-
- Family Nurse Practitioner
- Brackenridge, PA
- NPI 1184131344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1093321184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 BEAR CREEK RD",
"city": "PROSPECT",
"state": "PA",
"postal_code": "160523204",
"telephone_number": "814-330-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 1ST AVE",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150841765",
"telephone_number": "724-749-4118",
"fax_number": "724-202-0394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW KOZMINSKI DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "KOZMINSKI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "814-330-5061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER",
"identifier": "1649303108",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarentum, PA
- Maria Christine Ludwiczak, RPH
- Luxottica Retail North America Inc (Pearle Vision #C6576)
- Managed Eye Care Inc
- Heather Marie Manway, DMD
- Margaret Leffler Martin, MD
- Jordana McLaughlin, LPC, CRC
- Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - Tarentum)
- Menelaos Liulias OD
- Victoria A Minarik, RN
- David John Monroe, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.