Wesley P Kozinn MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD020649E Issued in PA

Legal business name

WESLEY P KOZINN MD PC

Doing business as

Valley Infectious Disease Spec LTD

Practice address

2061 Fairview Ave
Easton, PA 18042-3953

Phone

(610) 253-7818

Fax

(610) 253-1764

NPI assigned

Jun 10, 2006

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ingrid Leeper

Title

Office Manager

Phone

(610) 253-7818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Infectious Disease Spec LTD Doing business as

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1144262890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423953",
            "telephone_number": "610-253-7818",
            "fax_number": "610-253-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423953",
            "telephone_number": "610-253-7818",
            "fax_number": "610-253-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY P KOZINN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-253-7818"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD020649E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006057700009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "469374",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Infectious Disease Spec LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Easton, PA
• Providers in Easton, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.