Richard P Kosinski, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

049951 Issued in MI

Practice address

6321 S West Bay Shore Dr
Traverse City, MI 49684-9208

Phone

(231) 946-5547

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Traverse Area Hematology/Oncology P.C.

  • Hematology & Oncology Physician
  • Traverse City, MI
  • NPI 1891760922
  NPD Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1376510362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849208",
            "telephone_number": "231-946-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849208",
            "telephone_number": "231-946-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSINSKI",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "049951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LICENSE STATE",
            "identifier": "RK049951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110016683",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8710958",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2907430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chalice M Kopacki, LMSW, MPA
• Susan J Kopka, MSW
• Susan Elizabeth Korson, PA
• Karaleigh Kosch
• Katie Lynn Koshko, COTAL
• Erin Kowalski, M.S. CCC-SLP
• Rebekah Kozak
• Stephen E Kozelko Jr., DDS
• Sus M. Kraemer, MSW,LMSW,CAAC
• Susan Jane Kramer, MSW MASTERS IN SOCIA

• Hematology & Oncology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.