Active NPI
Herbert E. Kosmahl DPM PC
- Foot & Ankle Surgery Podiatrist
- Calhoun, GA
National Provider Identifier
1962551952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300028755B | Medicaid | GA | |
| CD0240 | Other | GA | RAILROAD MEDICARE GROUP # |
| 507144 | Other | GA | BCBS GROUP # |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Calhoun, GA
- NPI 1114081635
Member Of
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.