Walter F Koscienski, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02616 Issued in KY

Practice address

1292 Twelve Stones Xing
Goodlettsville, TN 37072-3345

Phone

(615) 851-7711

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, GA2 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, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, GA

  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Koscienski & Foster PSC

  • Family Medicine Physician
  • Monticello, KY
  • NPI 1134322670
  NPD (past) Authorized official
• Luther Lake Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Dickson, TN
  • NPI 1366870032
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1326106527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 TWELVE STONES XING",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723345",
            "telephone_number": "615-851-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 TWELVE STONES XING",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723345",
            "telephone_number": "615-851-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIENSKI",
        "first_name": "WALTER",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "02616",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02616",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64026164",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Younghee Kim, FNP
• Nan Kimbro, CRNA
• James Centre King III, M.D.
• Megan Knotts, DPT
• Steven P Koester, D.C.
• Kristen Starr Kosinski, NP
• Molly Kathleen Kroeger, PA-C
• Kroger Limited Partnership I
• Jeff Lancaster
• Michael Lancaster

• Emergency Medicine Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.