Kris a. Kostrzewski M.D./PHD Family Practice LLC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35071412 Issued in OH

Legal business name

KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC.

Practice address

6545 W Central Ave Ste 208
Toledo, OH 43617-1034

Phone

(419) 843-8888

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Rose Chmielowicz, RN

Title

Billing Spervisor

Phone

(419) 843-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1265611149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 W CENTRAL AVE STE 208",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171034",
            "telephone_number": "419-843-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 W CENTRAL AVE STE 208",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171034",
            "telephone_number": "419-843-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CHMIELOWICZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "BILLING SPERVISOR",
        "authorized_official_telephone_number": "419-843-8888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35071412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla L Krichbaum, PHD
• Carol L. Krieger, PMHCNSBC
• Geneva Denise Krieger
• Sherry Krieger
• Mary Krill
• Nisha Krishnan
• Venkatesan Krishnan, M.D.
• Kraig Alan Kristof, M.D.
• KRK Solutions LLC.
• Joseph Krohn, LPN

• Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.