Active NPI
Katherine Anna Koczan, D.O.
- Family Medicine Physician
- Parker, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS016217
- Practice address
- 855 Route 58
Suite 1
Parker, PA 16049-7029 - Phone
- (724) 659-5601
- NPI assigned
- Nov 2, 2007
- Last updated
- Aug 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10911 | ND | |
| Family Medicine Physician | 207Q00000X | OS016217 | PA | Primary |
| General Practice Physician | 208D00000X | 34.009157 | OH |
Addresses
Primary practice location
855 Route 58
Suite 1
Parker, PA 16049-7029
Mailing address
121 Doctors LN
Clarion, PA 16214-8515
Phone (814) 226-3470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8701 Darrow Rd
Twinsburg, OH 44087-2105
Phone (330) 888-4000
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10911 | ND | MD | Family Medicine Physician |
| 34.009157 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Physician Group | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Partners Physician Group | Family Medicine | Current | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
Interoperability endpoints
- kkoczan114101@direct.metrohealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
dba Community Access and Wellness - HWE
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- Home Health Agency
- Independence, OH
- NPI 1225009442
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1639358989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DOCTORS LN",
"city": "CLARION",
"state": "PA",
"postal_code": "162148515",
"telephone_number": "814-226-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 ROUTE 58",
"address_2": "SUITE 1",
"city": "PARKER",
"state": "PA",
"postal_code": "160497029",
"telephone_number": "724-659-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCZAN",
"first_name": "KATHERINE",
"middle_name": "ANNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "10911",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS016217",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34.009157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.