DR. MCKENZIE MICHAEL KOTNIK (NPI# 1154792091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154792091 |
| Entity Type | Individual |
| Full Name | DR. MCKENZIE MICHAEL KOTNIK |
| Credential | PHARMD |
| Practice Address |
6067 N Ridge Rd Madison OH 44057 |
| Practice Telephone | 4404170373 |
| Mailing Telephone | 4404170373 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03334691 | OH | Pharmacy Service Providers |
| Street Address |
6067 N RIDGE RD |
| City | MADISON |
| State | OH |
| Zip Code | 44057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738512 | Edward S Friedman | Optometrist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2005-11-22 |
| 1710588330 | Christine Vandeweel | Pharmacist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2020-11-02 |
| 1124629738 | Gregory Hugh Gress | Pharmacist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2020-11-02 |
| 1396345997 | Ann M Breech | Pharmacist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2020-11-01 |
| 1548860547 | Daniel William O'neill | Pharmacist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2020-10-28 |
| 1043859259 | Giela Gellis Od LLC | Optometrist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2020-01-06 |
| 1922390012 | Lake Hospital System Inc | Clinic/Center | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2011-05-06 |
| 1144323775 | Wal-mart Stores East, Lp | Technician/Technologist | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2006-09-07 |
| 1124045224 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6067 N Ridge Rd, Madison, OH 44057-2441 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1861862336 | Living Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6873 Dave Drive, Madison, OH 44057 | 2015-09-28 |
| 1548526650 | Jessica Cook | Family Medicine | 6270 North Ridge Rd, Madison, OH 44057 | 2012-04-03 |
| 1164651428 | Dr. Edward S. Friedman, Optometrist Inc. | Optometrist | 6067 North Ridge Rd., Madison, OH 44057 | 2009-07-08 |
| 1023259546 | Northern Dental Specialists, Dr. Steven W Gajda | Dentist | 2040 Hubbard Road, Madison, OH 44057 | 2009-03-12 |
| 1295908267 | Nathan Tekavec | Physical Therapist | 2583 Walter Green Commons, Madison, OH 44057 | 2008-04-10 |
| 1124228556 | Alan B Spiegel | Pediatrics | 6270 N. Ridge Road, Lake Health Physician Group Madison Pediatrics, Madison, OH 44057 | 2007-07-24 |
| 1083828149 | Mary Kathleen Tascone | Registered Nurse | 6205 Campbell Dr, Madison, OH 44057 | 2007-05-09 |
| 1801016043 | Donna Marie Jones | Home Health Aide | 6082 N Ridge Rd, Madison, OH 44057 | 2007-04-30 |
| 1356466445 | Kist Family Chiropractic & Wellness Centre Inc. | Chiropractor | 2711 Hubbard Rd, Madison, OH 44057 | 2007-03-20 |
| Find all providers in zip 44057 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
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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.