Erin Andrea Koscinski, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102203582 Issued in VA

Practice address

613 Campus Dr
Suite 200
Abingdon, VA 24210-9703

Phone

(276) 628-1186

Fax

(276) 628-8507

NPI assigned

Jul 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIJAED/Endpoint/CIJAED
• Direct secure messaging: erin.koscinski.1@22660.direct.athenahealth.com

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.

• Blue Ridge Medical Management Corporation

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567

  VA

  Medicare reassignment NPD
• Riverside Medical Clinic Inc

  • Family Nurse Practitioner
  • Grundy, VA
  • NPI 1508263088

  VA

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833

  TN

  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  TN

  Medicare reassignment NPD
• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  Family Medicine, TN

  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  • Hospitalist Physician
  • Abingdon, VA
  • NPI 1104171826
  NPD
• Joshua P Sutherland Jr PC

  • Family Medicine Physician
  • Grundy, VA
  • NPI 1528282241

  Family Medicine

  NPD
• Blue Ridge Medical Management Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kingsport, TN
  • NPI 1144458332
  NPD
• Blue Ridge Medical Management Corporation

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756

  Family Medicine

  NPD
• Wellmont Medical Associates, Inc.

  • Internal Medicine Physician
  • Rogersville, TN
  • NPI 1689032575
  NPD

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1184936742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-628-1186",
            "fax_number": "276-628-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-628-1186",
            "fax_number": "276-628-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCINSKI",
        "first_name": "ERIN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203582",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002320",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184936742",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184936742",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Key
• Camille Hoffman Kingsolver, LPC
• Tyler Dexter Kirk, D.O.
• Danielle Kiser, LCSW
• Matthew Eric Knudsen, DDS
• Brittany Krackow
• Kroger Limited Partnership I
• Maung M. Kyi, M.D.
• Emily Lachniet, LCSW
• Lacyoni Moraes, MD, PC

• All providers in Abingdon, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.