Melissa Jo Kokoszka, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2009009429 Issued in MO

Practice address

222 E Primrose St
Suite E
Springfield, MO 65807-5206

Phone

(417) 888-0167

Fax

(417) 888-0189

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461369600000",
    "number": "1396958260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075206",
            "telephone_number": "417-888-0167",
            "fax_number": "417-888-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075206",
            "telephone_number": "417-888-0167",
            "fax_number": "417-888-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOSZKA",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0066112",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2009009429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396958260",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00760866",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180693001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413312900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Douglas Koehn, M.D.
• Kelly Koehn, MD
• Gary M Koeppe, OTR L
• Koerbles Pharmacy Inc
• Giselle Damien Kohler, M.D.
• Brielle Kolb
• Jeremy A Kolb, AA
• Shirley A. Kolkmeyer, LPC
• Lindsey Kollmeyer
• Alexis Marie Kondrick, PHARM.D.

• Anesthesiology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.