Individual provider Active NPI

Jason A Koskinen, D.O.

  • Family Medicine Physician
  • Jbsa Lackland AFB, TX
National Provider Identifier
1801970215
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101027 Issued in AK
Practice address
Wilford Hall
1100 Wilford Hall Loop
Jbsa Lackland AFB, TX 78236
Phone
(609) 741-9695
NPI assigned
Oct 24, 2006
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101027 AK Primary

Addresses

Primary practice location

Wilford Hall
1100 Wilford Hall Loop
Jbsa Lackland AFB, TX 78236

Mailing address

Wilford Hall
1100 Wilford Hall Loop
Jbsa Lackland AFB, TX 78236
Phone (609) 741-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000766 TX Practitioner - Family Practice 0143351247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 14, 2016 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 14, 2016 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

209 Moller Ave
Sitka, AK 99835
Phone (907) 747-1722

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1801970215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILFORD HALL",
            "address_2": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "609-741-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL",
            "address_2": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "609-741-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKINEN",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "101027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Lackland AFB, TX

Sources for this page

Verify at the official NPI Registry.