NPIMap

Organization Active NPI

Kosobucki Family Medicine, P.C.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1487735056
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045857 Issued in GA
Legal business name
KOSOBUCKI FAMILY MEDICINE, P.C.
Practice address
2008 Wynnton Rd
Columbus, GA 31906-2407
Phone
(706) 321-9486
Fax
(706) 321-8891
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Daniel E Kosobucki
Title
Physician
Phone
(706) 321-9486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 045857 GA Primary

Addresses

Primary practice location

2008 Wynnton Rd
Columbus, GA 31906-2407

Mailing address

2008 Wynnton Rd
Columbus, GA 31906-2407
Phone (706) 321-9486

National Provider Directory

National Provider Directory

Locations

2008 Wynnton Rd
Columbus, GA 31906
Phone (706) 321-9486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1487735056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062407",
            "telephone_number": "706-321-9486",
            "fax_number": "706-321-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062407",
            "telephone_number": "706-321-9486",
            "fax_number": "706-321-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSOBUCKI FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "KOSOBUCKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-321-9486",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.