Active NPI
Edward James Kosenski, D.C.
- Chiropractor
- Gaithersburg, MD
National Provider Identifier
1750426292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01764
- Practice address
- 297 Muddy Branch Rd
Gaithersburg, MD 20878-3000 - Phone
- (301) 330-4443
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01764 | MD | Primary |
Addresses
Primary practice location
297 Muddy Branch Rd
Gaithersburg, MD 20878-3000
Mailing address
6000 Laurel Bowie Rd 202
Bowie, MD 20715-4000
Phone (301) 352-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
418 E Diamond Ave
Gaithersburg, MD 20877-3018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01764 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Johnson Chiropractic and Rehabilitation, P.a. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Rehabilitation Chiropractor
- Catonsville, MD
- NPI 1275801656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1750426292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAUREL BOWIE RD 202",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154000",
"telephone_number": "301-352-3454",
"fax_number": "301-352-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 MUDDY BRANCH RD",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208783000",
"telephone_number": "301-330-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSENSKI",
"first_name": "EDWARD",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "01764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.