Chad Kotlarz, N.M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

099-0000056 Issued in VT

Practice address

413 Waukazoo Ave
Petoskey, MI 49770-2619

Phone

(231) 487-9462

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629270822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 BIRCH VIEW DR",
            "city": "KEWADIN",
            "state": "MI",
            "postal_code": "496489202",
            "telephone_number": "231-487-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WAUKAZOO AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702619",
            "telephone_number": "231-487-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLARZ",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "099-0000056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Koch, MS, LPC
• Amy Therese Kolb, OT
• Andrew J Kolp, DO
• Stephanie Kosdrosky, MA CCC-SLP
• Michael Koskus, PH.D.
• Alison Beth Kozan, O.T.R., C.H.T.
• Deborah Ann Kramp, LPN
• Niki Marie Krancevich, PHARMD
• Pamala Krasinski-Wespiser
• Henrike Beate Kroemer, PH.D.

• Family Medicine Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.