Organization Active NPI

Herbert E. Kosmahl DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Calhoun, GA
National Provider Identifier
1962551952
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HERBERT E. KOSMAHL DPM PC
Practice address
795 Red Bud Rd NE
Calhoun, GA 30701-1966
Phone
(706) 629-1852
Fax
(706) 629-8004
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Herbert E Kosmahl, D.P.M.
Title
Owner & Senior Physician
Phone
(706) 629-1852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

795 Red Bud Rd NE
Calhoun, GA 30701-1966

Mailing address

795 Red Bud Rd NE
Calhoun, GA 30701-1966
Phone (706) 629-1852

Other identifiers 3

IdentifierTypeStateIssuer
300028755BMedicaidGA
CD0240OtherGARAILROAD MEDICARE GROUP #
507144OtherGABCBS GROUP #

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

660 Jolly Rd NW
Calhoun, GA 30701
Phone (239) 822-7947

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1962551952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011966",
            "telephone_number": "706-629-1852",
            "fax_number": "706-629-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011966",
            "telephone_number": "706-629-1852",
            "fax_number": "706-629-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT E. KOSMAHL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "KOSMAHL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER & SENIOR PHYSICIAN",
        "authorized_official_telephone_number": "706-629-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028755B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CD0240",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "507144",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.