Eileen Katherine Kosieracki, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

184108-1 Issued in NY

Practice address

3916 Long Bridge Rd
Albion, NY 14411-9310

Phone

(585) 589-6247

Fax

(585) 589-6351

NPI assigned

Jun 30, 2005

Last updated

Dec 9, 2011By 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 8

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Eileen K. Kosieracki, D.O.,P.C.

  • Family Medicine Physician
  • Albion, NY
  • NPI 1700156072
  Authorized official Same address or phone

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1174520589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 LONG BRIDGE RD",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119310",
            "telephone_number": "585-589-6247",
            "fax_number": "585-589-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 LONG BRIDGE RD",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144119310",
            "telephone_number": "585-589-6247",
            "fax_number": "585-589-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIERACKI",
        "first_name": "EILEEN",
        "middle_name": "KATHERINE",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184108-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0103805",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010093901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248562",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5900220",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE/ BC/BS BUF",
            "identifier": "000511199002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ROCHESTER BLUE CHOI",
            "identifier": "010184108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5745356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MD134P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Kast, PA
• Amanda Nichole Kastelic, LCSW
• Amber Marie Kelkenberg, PHARM.D.
• Shirley Knaudt, PTA
• Jason Knupp, LMSW
• Pamela Kosmowski
• Patricia Bascom Landon
• John E Leddon Jr., OPTICIAN
• Janet Elise Leight, LPN
• Cory B Lewis, MPT

• Family Medicine Physician in Albion, NY
• Providers in Albion, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.