NPIMap

Organization Active NPI

Michael J. Kozel, MD, a.P.M.C.

  • Family Medicine Physician
  • Ponchatoula, LA
National Provider Identifier
1609039593
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019085 Issued in LA
Legal business name
MICHAEL J. KOZEL, MD, A.P.M.C.
Practice address
165 W Oak St
Ponchatoula, LA 70454-3328
Phone
(985) 386-5943
Fax
(985) 386-8080
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Michael Joseph Kozel, M.D.
Title
President
Phone
(985) 386-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 019085 LA Primary

Addresses

Primary practice location

165 W Oak St
Ponchatoula, LA 70454-3328

Mailing address

165 W Oak St
Ponchatoula, LA 70454-3328
Phone (985) 386-5943

Other identifiers 3

IdentifierTypeStateIssuer
39440OtherLABLUE CROSS
920794OtherLAUNITED HEALTHCARE
1367648MedicaidLA

National Provider Directory

National Provider Directory

Locations

165 W Oak St
Ponchatoula, LA 70454
Phone (985) 386-5943

Practitioners & affiliated clinicians

Practitioners 3

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1609039593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W OAK ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543328",
            "telephone_number": "985-386-5943",
            "fax_number": "985-386-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W OAK ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543328",
            "telephone_number": "985-386-5943",
            "fax_number": "985-386-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. KOZEL, MD, A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-386-5943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "39440",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "920794",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367648",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.