Lawrence Koss, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208062 Issued in NY

Practice address

3045 East Ave
Lifetime Health Center Building
Central Square, NY 13036-9502

Phone

(315) 668-1202

NPI assigned

Sep 21, 2006

Last updated

Oct 20, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Genesee Valley Group Health Association

  dba Lifetime Health Medical Group

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1962591875
  NPD (past)
• M R Goriganti Physician PLLC

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
  • NPI 1508049032
  NPD (past)
• Upstate Pain Medicine PC

  • Specialist
  • Fulton, NY
  • NPI 1255498424
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1790884666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 SNOWBALL RUN",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573212",
            "telephone_number": "315-656-2698",
            "fax_number": "206-426-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 EAST AVE",
            "address_2": "LIFETIME HEALTH CENTER BUILDING",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369502",
            "telephone_number": "315-668-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Kelley, R.N.
• Danielle Kerfien, FNP
• Tamara Lynn Keys, LPN
• Patricia M Koch, B.S.
• Denise M Kosecki, LPN
• Anthony Peter Kossa, D.D.S.
• Claudia F Krider, PA
• Arun R Kunwar, MD
• Kuss Physical Therapy PLLC
• John Kenneth Kuss, PT, DPT, MTC

• Family Medicine Physician in Central Square, NY
• Providers in Central Square, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.