Walter Ernest Kozachuk, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

D37279 Issued in MD

Practice address

2328 W Joppa Rd
Suite 10
Lutherville, MD 21093-4612

Phone

(410) 828-7792

Fax

(410) 828-5620

NPI assigned

Jan 4, 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

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Steven L. Strauss , M.D. ,L.L.C.

  • Neurology Physician
  • Baltimore, MD
  • NPI 1134422660
  NPD (past)
• The Neuroscience Team Inc.

  • Clinical Neuropsychologist
  • Lutherville, MD
  • NPI 1235291097
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1992852933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 CAM CT",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951313",
            "telephone_number": "301-807-9346",
            "fax_number": "301-962-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD",
            "address_2": "SUITE 10",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934612",
            "telephone_number": "410-828-7792",
            "fax_number": "410-828-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZACHUK",
        "first_name": "WALTER",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D37279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilan Kokotek, DO
• Martin Bruce Koretzky, PH.D.
• Leo Israel Korotki, M.D.
• Jerome Kowalewski, PHD
• Ibikunle Olayemi Koya, MD
• Elizabeth R Kramer, M.AC., L.AC.
• Fadi Kreisheh, DMD
• Jane L Krimmel, LCSW-C
• Robert Kimball Kritzler, MD
• Deana Krizan

• Neurological Surgery Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.