George Kostohryz II, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

E8642 Issued in TX

Practice address

4625 Boat Club Rd
Suite 257
Fort Worth, TX 76135-7022

Phone

(817) 346-6464

Fax

(817) 238-0054

NPI assigned

Feb 13, 2006

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

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1821062357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD",
            "address_2": "SUITE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357022",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD",
            "address_2": "SUITE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357022",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOHRYZ",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E8642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120230103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Ann Koshy
• Claire Koskie, RD LD
• Ludmila Kosmari, APRN
• Ryan Kostka, D.O.
• David Wayne Kostohryz, D.D.S
• Aparna Rao Kotamarti
• Karen S Kotara, PA
• Aashay Kothari
• Harikrishna Kotra, MD
• Christopher Adam Kottwitz, PT, DPT

• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.