Maria Kossak DO PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARIA KOSSAK DO PLLC

Practice address

22074 Michigan Ave
Dearborn, MI 48124-2353

Phone

(313) 565-9510

Fax

(313) 565-4410

NPI assigned

Jun 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria N Kossak, DONPI 1821292723

Title

Phys Owner

Phone

(313) 565-9510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria N Kossak, D.O.

  • Obstetrics Physician
  • Dearborn, MI
  • NPI 1821292723
  Authorized official Same address or phone

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811193048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22074 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242353",
            "telephone_number": "313-565-9510",
            "fax_number": "313-565-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22074 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242353",
            "telephone_number": "313-565-9510",
            "fax_number": "313-565-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA KOSSAK DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSSAK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYS   OWNER",
        "authorized_official_telephone_number": "313-565-9510",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew L Marcus, M.D.
• Michelle L Mardegian, PA-C
• Leanne Kathleen Marentay, MA, CCC-SLP
• Alyssa Nicole Margetson
• Raquel Renee Marhaba
• Marianne L Baran DDS PC
• Yolanda Marie, DPT, OMPT
• Mary Dana Marinescu
• Stelian Marinescu, MD
• Shreen Marini, FNP-BC

• Specialist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.