Coze Health Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COZE HEALTH MEDICAL, LLC

Practice address

156 Sagamore Pkwy W Ste a
West Lafayette, IN 47906-1569

Phone

(765) 204-1122

Fax

(765) 205-8322

NPI assigned

Oct 23, 2018

Last updated

Mar 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy B O'Donnell, MDNPI 1144485764

Title

Physician/Owner

Phone

(317) 379-3456

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: timodonnell@direct.practicefusion.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy B O'Donnell, MD

  • Family Medicine Physician
  • West Lafayette, IN
  • NPI 1144485764
  Medicare reassignment NPD Authorized official
• Ruth Abramovitz, MD

  • Internal Medicine Physician
  • West Lafayette, IN
  • NPI 1649248915
  Medicare reassignment NPD
• Mojgan Sarmadi, M.D.

  • Family Medicine Physician
  • Lebanon, IN
  • NPI 1033442108
  Medicare reassignment NPD
• Zachary Mathias Napier, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1891145843
  NPD
• Trace Aaron Shroyer, PA-C

  • Physician Assistant
  • Carmel, IN
  • NPI 1568183259
  NPD

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1356817894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SAGAMORE PKWY W STE A",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-204-1122",
            "fax_number": "765-205-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SAGAMORE PKWY W STE A",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-204-1122",
            "fax_number": "765-205-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZE HEALTH MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "317-379-3456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "01066964A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "01072209A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timodonnell@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "156 Sagamore Pkwy W Ste A",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Kendall Lynn Cornell
• Victoria Couk
• Counseling Simplified
• Allison Jean Cox
• Theresa E Coyner, NP
• Cppltc LLC
• Bridget Megan Crehan
• Amanda Criste, OTR/L
• Keely Criswell
• Megan Criswell, CST

• Family Medicine Physician in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.