NPIMap

Organization Active NPI

Charles a. Kosove, MD, PA.

  • Otolaryngology Physician
  • Homestead, FL
National Provider Identifier
1336460195
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME22123 Issued in FL
Legal business name
CHARLES A. KOSOVE, MD, PA.
Practice address
1851 N Krome Ave
Homestead, FL 33030-3237
Phone
(305) 246-0000
Fax
(305) 245-1144
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Merri F Schmidt
Title
Office Manager
Phone
(305) 246-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X ME22123 FL Primary

Addresses

Primary practice location

1851 N Krome Ave
Homestead, FL 33030-3237

Mailing address

1851 N Krome Ave
Homestead, FL 33030-3237
Phone (305) 246-0000

Other identifiers 1

IdentifierTypeStateIssuer
037036300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1336460195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303237",
            "telephone_number": "305-246-0000",
            "fax_number": "305-245-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303237",
            "telephone_number": "305-246-0000",
            "fax_number": "305-245-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. KOSOVE, MD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MERRI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-246-0000"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME22123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037036300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

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

Verify at the official NPI Registry.