Paul Kokkinides, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006127 Issued in NY

Practice address

520 Maple Ave
Saratoga Springs, NY 12866-5509

Phone

(518) 583-4268

Fax

(518) 581-1636

NPI assigned

May 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891902029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665509",
            "telephone_number": "518-583-4268",
            "fax_number": "518-581-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665509",
            "telephone_number": "518-583-4268",
            "fax_number": "518-581-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKKINIDES",
        "first_name": "PAUL",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E Klingebiel, RD, CDN
• George Sterling Knapp, D.O.
• Raymond D Knizek, L, ATC
• Amy Eileen Knoeller, MD
• G Stephen Knoll, DDS
• Melissa Kollar, LMSW
• Kathleen Kondo, F.N.P.
• Nicholas Kondo, MD
• Claire Konig, MS SPECIAL EDUCATION
• David J Koren, MD

• Physician Assistant in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.