Active NPI
Jason A Koskinen, D.O.
- Family Medicine Physician
- Jbsa Lackland AFB, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101027
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | 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.
-
dba Thorne Bay Health Clinic
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
TX
-
dba Searhc Excursion Inlet
- Clinic/Center
- Excursion Inlet, AK
- NPI 1063958452
-
dba SEARHC Specialty Care Clinic- Salmon Creek
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
dba Ascension Medical Group Sacred Heart Urgent Care
- Urgent Care Clinic/Center
- Pensacola, FL
- NPI 1770533077
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Port Huron, MI
- NPI 1063581353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.