Active NPI
Aurelia Barbara Koziel-Andrzejewska
- Neurology Physician
- Ashland, WI
National Provider Identifier
1578593869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 45604-020
- Practice address
- 1625 Maple LN
Ashland, WI 54806-3768 - Phone
- (715) 685-7500
- Fax
- (715) 682-2481
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 45604-020 | WI | Primary |
Addresses
Primary practice location
1625 Maple LN
Ashland, WI 54806-3768
Mailing address
1625 Maple LN
Ashland, WI 54806-3768
Phone (715) 685-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34429000 | Medicaid | WI | |
| 452449700 | Medicaid | MN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45604-020 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1578593869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063768",
"telephone_number": "715-685-7500",
"fax_number": "715-682-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063768",
"telephone_number": "715-685-7500",
"fax_number": "715-682-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIEL-ANDRZEJEWSKA",
"first_name": "AURELIA",
"middle_name": "BARBARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "45604-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34429000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "452449700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.