Koyo Medical P a

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME90895 Issued in FL

Legal business name

KOYO MEDICAL P A

Doing business as

Koyo Medical P a

Practice address

19909 Tamiami Ave
Tampa, FL 33647-3366

Phone

(813) 468-1899

Fax

(813) 428-5657

NPI assigned

Aug 27, 2012

Last updated

Oct 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edet Ating Elensi, MDNPI 1952373474

Title

President

Phone

(813) 468-1899

Specialties & licenses 1

Addresses

Other names 1

• KOYO MEDICAL P A Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edet Elensi, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1952373474
  Authorized official Same address or phone

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1679821474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19909 TAMIAMI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19909 TAMIAMI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473366",
            "telephone_number": "813-468-1899",
            "fax_number": "813-428-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOYO MEDICAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ELENSI",
        "authorized_official_first_name": "EDET",
        "authorized_official_middle_name": "ATING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-468-1899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME90895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOYO MEDICAL P A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kay Kowalczyk, DO
• Jacob Kowaleski
• Catherine L. Kowalewski, D.O.
• Brian Joseph Kowalski
• Stephen Daniel Kowalski, DPT
• Kler Kozic
• Alexis Leigh Kozich, APRN, FNP-BC
• Andrew Nicholas Kozlov, M.D.
• Jennifer L. Kozlowski, P.T.
• Haydy Kozman

• Geriatric Medicine (Internal Medicine) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.