NPIMap

Individual provider Active NPI

Sandra Cosklo, DO

  • Internal Medicine Physician
  • Clifford, PA
National Provider Identifier
1841374469
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008778L Issued in PA
Practice address
Box 120 Main Street
Clifford, PA 18413
Phone
(570) 222-5200
Fax
(570) 222-5201
NPI assigned
Oct 24, 2006
Last updated
Jan 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS008778L PA Primary

Addresses

Primary practice location

Box 120 Main Street
Clifford, PA 18413

Mailing address

PO Box 517
Carbondale, PA 18407-0517
Phone (570) 282-6485

Other identifiers 3

IdentifierTypeStateIssuer
1534978MedicaidPA
002242OtherFIRST PRIORITY HEALTH
785666OtherBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000012 PA Practitioner - Internal Medicine 6002993748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Medicine PCGroup PAC ID 6406995778, 25 clinicians

Practice addresses (Care Compare)

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS008778LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Adfinitas Health Palliative Services, LLC CurrentSince May 19, 2024 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Oct 1, 2017 Accepting new patients
Wayne Memorial Hospital Internal Medicine Past Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

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": "1262908800000",
    "number": "1841374469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070517",
            "telephone_number": "570-282-6485",
            "fax_number": "570-281-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 120 MAIN STREET",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "18413",
            "telephone_number": "570-222-5200",
            "fax_number": "570-222-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSKLO",
        "first_name": "SANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008778L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534978",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "785666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifford, PA

Sources for this page

Verify at the official NPI Registry.