DR. STEVEN D KOZUSKO (NPI# 1033598248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033598248 |
| Entity Type | Individual |
| Full Name | DR. STEVEN D KOZUSKO |
| Credential | M.D. |
| Practice Address |
910 Madison Ave Memphis TN 38103-3403 |
| Practice Telephone | 9014481350 |
| Mailing Telephone | (901) 448-1350 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 1033598248 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 2nd Ave, Long Branch, NJ 077406303 | 7329236769 |
| Street Address |
910 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905165 | Isaac Fordjour | Dentist | 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 | 2005-10-12 |
| 1346736857 | Hisham Neyazi Abu Farsak | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2018-07-09 |
| 1023506607 | Veronica Easton | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103 | 2018-04-29 |
| 1386172773 | David Allen Cooper | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2017-05-30 |
| 1104352293 | University of Tennessee Health Science Center | General Acute Care Hospital | 910 Madison Ave, Ste 1031, Memphis, TN 38103-3403 | 2017-05-10 |
| 1619320868 | Muhammad Hassaan Shahid | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2016-07-22 |
| 1427403278 | Xiangxia Liu | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 315, Memphis, TN 38103-3403 | 2016-04-29 |
| 1619331220 | Patrick Probst | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 409, Memphis, TN 38103-3403 | 2016-04-09 |
| 1588042675 | Joseph Vito Russo | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-05-11 |
| 1841678901 | Joshua James Little | Ophthalmology | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023244357 | Amie Rae Miller | Plastic Surgery | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2009-06-01 |
| 1154578573 | Sylvia Shepherd Strock | Plastic Surgery | 4634 Peppertree Lane, Memphis, TN 38117 | 2008-08-27 |
| 1538326434 | Melissa Anne Kath | Plastic Surgery | 80 Humphreys Center Dr Ste 100, Memphis, TN 38120-2352 | 2008-05-19 |
| 1043316821 | Dan Huff Shell IIi | Plastic Surgery | 6209 Poplar Ave, Suite 200, Memphis, TN 38119-4712 | 2006-09-16 |
| 1164436226 | Robert Louis Adams | Plastic Surgery | 80 Humphreys Ctr Ste 100, Memphis, TN 38120-2352 | 2006-07-27 |
| 1326003179 | Ellis Tavin | Plastic Surgery | 80 Humphreys Center Dr, #100, Memphis, TN 38120 | 2006-04-17 |
| 1760823595 | Kalyan Chakravarthy Dadireddy | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2013-07-09 |
| 1851659981 | Haiqiao Jiao | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2012-04-26 |
| 1720364367 | Petros Konofaos | Plastic Surgery | 1068 Cresthaven Rd, Suite 500, Memphis, TN 38119-0800 | 2011-10-27 |
| 1801185228 | Cedric Lawon Hunter | Plastic Surgery | 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | 2011-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.