Anthony T. Kosoglov, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35057981 Issued in OH

Legal business name

ANTHONY T. KOSOGLOV, INC.

Practice address

99 Northline Cir
Suite 215
Euclid, OH 44119-1482

Phone

(216) 692-7600

Fax

(216) 692-7606

NPI assigned

Sep 16, 2006

Last updated

Feb 5, 2008By 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

Dr. Anthony Thomas Kosoglov, MD

Title

President

Phone

(216) 692-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1861598724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR",
            "address_2": "SUITE 215",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191482",
            "telephone_number": "216-692-7600",
            "fax_number": "216-692-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR",
            "address_2": "SUITE 215",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191482",
            "telephone_number": "216-692-7600",
            "fax_number": "216-692-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY T. KOSOGLOV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KOSOGLOV",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-692-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2718563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.