Active NPI
Raymond Stephen Kociolek, DC, MS, ATC
- Chiropractor
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5599
- Practice address
- 181 Towne Dr
Elizabethtown, KY 42701-8460 - Phone
- (270) 900-4030
- Fax
- (270) 900-0489
- NPI assigned
- Nov 6, 2017
- Last updated
- Oct 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5599 | KY | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
181 Towne Dr
Elizabethtown, KY 42701-8460
Mailing address
181 Towne Dr
Elizabethtown, KY 42701-8460
Phone (270) 900-4030
Other practice location 1
809 N Perry St Apt 125
Davenport, IA 52803-7603
Phone (515) 783-6288
Other practice location 2
651 US 31W Byp # 202
Bowling Green, KY 42101-4977
Phone (515) 783-6288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100599360 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
727 Speckman Rd
Louisville, KY 40243-1876
Phone (502) 250-2003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health Centers of Middletown LLC | Chiropractor | Current | Accepting new patients |
| New Beginnings Chiropractic of Willisburg PLLC | Chiropractor | Current | Accepting new patients |
| Kociolek Chiropractic Center, LLC | Chiropractor | Current | Accepting new patients |
| Clear View Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
100 Broadway
Chaplin, KY 40012
4452 Dixie Hwy
Louisville, KY 40216
Phone (502) 448-5241
727 Speckman Rd
Louisville, KY 40243
Phone (502) 208-9290
2084 Main St
Willisburg, KY 40078
Phone 8593759200 ext. 232
Organizations & group practices 4
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.
-
- Chiropractor
- Louisville, KY
- NPI 1003510587
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dba Cardinal Chiropractic and Massage
- Chiropractor
- Louisville, KY
- NPI 1194534156
-
- Chiropractor
- Willisburg, KY
- NPI 1013642198
-
- Chiropractor
- Louisville, KY
- NPI 1629638648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1407369036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 TOWNE DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018460",
"telephone_number": "270-900-4030",
"fax_number": "270-900-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 TOWNE DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018460",
"telephone_number": "270-900-4030",
"fax_number": "270-900-0489"
}
],
"practiceLocations": [
{
"address_1": "809 N Perry St Apt 125",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528037603",
"country_code": "US",
"telephone_number": "515-783-6288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "651 US 31W Byp # 202",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421014977",
"country_code": "US",
"telephone_number": "515-783-6288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCIOLEK",
"first_name": "RAYMOND",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DC, MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5599",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100599360",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.