Individual provider Active NPI

David Chester Kazmierski, DO

  • Gastroenterology Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1225071707
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34002421K Issued in OH
Practice address
3033 State Rd
Cuyahoga Falls, OH 44223-3614
Phone
(330) 945-4739
Fax
(330) 945-7381
NPI assigned
Jun 13, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34002421K OH Primary

Addresses

Primary practice location

3033 State Rd
Cuyahoga Falls, OH 44223-3614

Mailing address

PO Box 67070
Cuyahoga Falls, OH 44222-7070
Phone (330) 945-4739

Other identifiers 1

IdentifierTypeStateIssuer
0310390MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34002421KOHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1225071707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67070",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442227070",
            "telephone_number": "330-945-4739",
            "fax_number": "330-945-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 STATE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233614",
            "telephone_number": "330-945-4739",
            "fax_number": "330-945-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERSKI",
        "first_name": "DAVID",
        "middle_name": "CHESTER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34002421K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.