Active NPI
Valeriy Kozmenko, M.D.
- Student in an Organized Health Care Education/Training Program
- New Orleans, LA
National Provider Identifier
1871896233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1542 Tulane Ave
Suit 653
New Orleans, LA 70112 - Phone
- (504) 568-2319
- Fax
- (504) 568-2317
- NPI assigned
- Dec 7, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1542 Tulane Ave
Suit 653
New Orleans, LA 70112
Mailing address
65 Coronado Ave
Kenner, LA 70065-3132
Phone (504) 452-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1871896233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CORONADO AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700653132",
"telephone_number": "504-452-4414",
"fax_number": "509-267-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"address_2": "SUIT 653",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-568-2319",
"fax_number": "504-568-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZMENKO",
"first_name": "VALERIY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.