Krzysztof A Kostrzewski, MD / PH D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-07-1412 Issued in OH

Practice address

4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537

Phone

(419) 517-7600

Fax

(419) 517-7610

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1902892169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD STE 220",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233537",
            "telephone_number": "419-517-7600",
            "fax_number": "419-517-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRZEWSKI",
        "first_name": "KRZYSZTOF",
        "middle_name": "A",
        "credential": "MD / PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-07-1412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Kosanovich
• Kendel Kosanovich
• Stephen Kosik, D.D.S.
• Linda Marie Koss
• Ema Kossin, M.S, LAT, ATC
• Maria I Kostrzewski, M.D.
• Tonda W Koszycki
• Tejasri Kothakonda
• Richard A Kotnik
• Nicholas Kotov

• Family Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.