Active NPI
Joann Kosik, MHA, PA-C
- Medical Physician Assistant
- Avoca, PA
National Provider Identifier
1295848646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- OA000366L
- Practice address
- 824 McAlpine St
Avoca, PA 18641-1140 - Phone
- (570) 457-9299
- Fax
- (570) 457-5014
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA000366L | PA | Primary |
Addresses
Primary practice location
824 McAlpine St
Avoca, PA 18641-1140
Mailing address
824 McAlpine St
Avoca, PA 18641-1140
Phone (570) 457-9299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295848646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 MCALPINE ST",
"city": "AVOCA",
"state": "PA",
"postal_code": "186411140",
"telephone_number": "570-457-9299",
"fax_number": "570-457-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MCALPINE ST",
"city": "AVOCA",
"state": "PA",
"postal_code": "186411140",
"telephone_number": "570-457-9299",
"fax_number": "570-457-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSIK",
"first_name": "JOANN",
"credential": "MHA, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA000366L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avoca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.