Joby Kolsun, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS008160L Issued in PA

Practice address

8843 Tropical CT
Fort Myers, FL 33908-9241

Phone

(267) 679-7907

NPI assigned

Mar 28, 2006

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Chestnut Hill Emergency Associates LTD

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1588628176
  NPD (past)
• Emergency Medical Associates CHS LLC

  • Emergency Medicine Physician
  • Trenton, NJ
  • NPI 1023055993
  NPD (past)
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1366403628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8843 TROPICAL CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089241",
            "telephone_number": "267-679-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8843 TROPICAL CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089241",
            "telephone_number": "267-679-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSUN",
        "first_name": "JOBY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS008160L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015700430010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC",
            "identifier": "0893602000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "849942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Kole, M.D.
• Gwen R Kolegue, APRN
• Naomi Kollar
• Anton Kolobov, MD
• James Michael Kolodziej, DC
• Brittany Komes, AU.D.
• Aparna Komma, ARNP
• Bhanuprasad Koneru, M.D.
• Diana Constanza Kooper, M.D.
• Christopher F Kopp, M.D.

• Emergency Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.