Louis Daniel Kosta, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD14225 Issued in OR

Practice address

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970

Phone

(503) 652-2880

Fax

(503) 571-3069

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790828424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SE 66TH PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152002",
            "telephone_number": "503-652-2880",
            "fax_number": "503-571-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-652-2880",
            "fax_number": "503-571-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTA",
        "first_name": "LOUIS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD14225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Komar, M.S., PA-C
• Eric Steven Komar, PA-C
• Ute Kongsbak
• James Michael Konieczny, D.P.M.
• Alexander Michael Kositch, M.D.
• Steven Kovach, PHARMACIST
• Maria H Kowalewska, M.D.
• Jennifer Marie Krahn, PA-C
• Jordan Elizabeth Kram
• Natalie Christine Kramer, CRNA

• Surgery Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Surgery Physician in Oregon

• 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.