Active NPI
Henry Jerome Koser, DO
- Geriatric Medicine (Family Medicine) Physician
- Clearwater, FL
National Provider Identifier
1457359457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- OS2430
- Practice address
- 2349 Sunset Point Rd
Unit 403
Clearwater, FL 33765-1439 - Phone
- (727) 796-8600
- Fax
- (727) 796-8660
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OS2430 | FL | Primary |
Addresses
Primary practice location
2349 Sunset Point Rd
Unit 403
Clearwater, FL 33765-1439
Mailing address
PO Box 20126
Tampa, FL 33622-0126
Phone (727) 823-2188
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075216 | Other | GHI | |
| 062839500 | Medicaid | FL | |
| 81675 | Other | FL | BCBS |
| P00457437 | Other | FL | RAILROAD MEDICARE |
| 196371 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1457359457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20126",
"city": "TAMPA",
"state": "FL",
"postal_code": "336220126",
"telephone_number": "727-823-2188",
"fax_number": "727-828-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 SUNSET POINT RD",
"address_2": "UNIT 403",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651439",
"telephone_number": "727-796-8600",
"fax_number": "727-796-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSER",
"first_name": "HENRY",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "OS2430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0075216",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062839500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "81675",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00457437",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "196371",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.