Active NPI
John J Kalosis, D.O.
- Family Medicine Physician
- Port Charlotte, FL
National Provider Identifier
1306927611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS6948
- Practice address
- 2343 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (941) 629-2900
- Fax
- (941) 629-6920
- NPI assigned
- Oct 17, 2006
- Last updated
- Oct 31, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS6948 | FL | Primary |
Addresses
Primary practice location
2343 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 979-5602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57116 | Other | FL | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medic of Charlotte County PA | Family Medicine | Current | Accepting new patients |
Locations
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1265512578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1306927611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19531 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482081",
"telephone_number": "941-979-5602",
"fax_number": "941-743-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2343 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "941-629-2900",
"fax_number": "941-629-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALOSIS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS6948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "57116",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.