Individual provider Active NPI

Daniel W Kozie, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Federal Way, WA
National Provider Identifier
1336196955
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD00013065 Issued in WA
Practice address
34612 6TH Ave S
Federal Way, WA 98003-6704
Phone
(253) 661-2594
Fax
(253) 661-2694
NPI assigned
May 28, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD00013065 WA Primary

Addresses

Primary practice location

34612 6TH Ave S
Federal Way, WA 98003-6704

Mailing address

34612 6TH Ave S
Suite 110
Federal Way, WA 98003-8723
Phone (253) 661-2594

Other identifiers 1

IdentifierTypeStateIssuer
1427128198OtherWAGROUP NPI

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00013065WAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates Northwest, P.C. Otolaryngology/Facial Plastic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Surgical Associates Northwest, PC CurrentSince Jan 1, 2005 Accepting new patients
Sjcane PLLC Past Accepting new patients

Locations

125 3rd St NE
Ste 201
Auburn, WA 98002
Phone (206) 833-4050

202 N Division St
Ste 100
Auburn, WA 98001
Phone (253) 223-0515

34612 6th Ave S
Federal Way, WA 98003
Phone (253) 237-0460

34612 6th Ave S
Ste 100
Federal Way, WA 98003
Phone (253) 237-0460

34612 6th Ave S
Ste 110
Federal Way, WA 98003
Phone (253) 661-2594

34612 6th Ave S
Ste 210
Federal Way, WA 98003
Phone (253) 927-1882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1336196955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "address_2": "SUITE 110",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036704",
            "telephone_number": "253-661-2594",
            "fax_number": "253-661-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIE",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00013065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1427128198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.