Seri Kaosol, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

34914 Issued in OH

Legal business name

SERI KAOSOL, MD

Practice address

485 W Market St
Tiffin, OH 44883-2611

Phone

(419) 448-4814

Fax

(419) 448-3622

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Seri Kaosol, MD

Title

President

Phone

(419) 448-4814

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508890781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446 485 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448830446",
            "telephone_number": "419-448-4814",
            "fax_number": "419-448-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832611",
            "telephone_number": "419-448-4814",
            "fax_number": "419-448-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERI KAOSOL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KAOSOL",
        "authorized_official_first_name": "SERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-448-4814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "34914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000128601",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.