Sandra Leigh Kosik, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00850 Issued in OR

Practice address

200 S Hazel Dell Way
Canby, OR 97013-7829

Phone

(503) 263-9500

Fax

(503) 263-1383

NPI assigned

Mar 6, 2006

Last updated

Dec 26, 2012By the provider in NPPES

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

Practice roles

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

• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1164499463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18465 S WINNIFRED AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388847",
            "telephone_number": "503-319-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HAZEL DELL WAY",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970137829",
            "telephone_number": "503-263-9500",
            "fax_number": "503-263-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "SANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136296",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Kilroy, MA
• Brittany Kleinschnitz
• Rachel Knopp
• Tara Ann Kochhar
• Joyce A. Korschgen, LPC
• Allison Krause-Campos, L.M.T.
• Samantha Louise Kriens, LCSW
• Karen Ann Kuryla, M.D.
• Laboratory Corporation of America
• Pak Him Lai, RPH

• Physician Assistant in Canby, OR
• Providers in Canby, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.