DR. BRIAN DAVID KOSSAK (NPI# 1164459368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164459368 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DAVID KOSSAK |
| Credential | M.D. |
| Practice Address |
87 Mcgregor St Dartmouth Hitchcock - Child Neurology Manchester NH 03102-3765 |
| Practice Telephone | 6036952500 |
| Practice Fax Number | 6036952960 |
| Mailing Telephone | 6036952500 |
| Mailing Fax Number | 6036952960 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
8711 | NH | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
213688 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
8711 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
87 MCGREGOR ST DARTMOUTH HITCHCOCK - CHILD NEUROLOGY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397442 | Stephen I Bogursky | Anesthesiology | 87 Mcgregor St, Ste. 1400, Manchester, NH 03102-3731 | 2005-06-28 |
| 1942721162 | Elizabeth Ashley Katsikides | Nurse Practitioner | 87 Mcgregor St, Manchester, NH 03102-3765 | 2017-06-28 |
| 1154794261 | Ap Derm New Hampshire PC | Dermatology | 87 Mcgregor St, Suite 2100, Manchester, NH 03102-3765 | 2015-11-11 |
| 1235508227 | Andrea F Bonenfant | Nurse Practitioner | 87 Mcgregor St, Manchester, NH 03102-3765 | 2015-09-19 |
| 1891172557 | Andrew M Slater | Internal Medicine | 87 Mcgregor St, Manchester, NH 03102 | 2015-05-01 |
| 1033501564 | Kristen Elizabeth Newell | Registered Nurse | 87 Mcgregor St, Manchester, NH 03102-3765 | 2015-02-20 |
| 1699180208 | Jennifer Rioux | Nurse Practitioner | 87 Mcgregor St, Ste. 3200, Manchester, NH 03102-3765 | 2014-06-23 |
| 1124451380 | Margaret Mary Crowder | Nurse Practitioner | 87 Mcgregor St, Suite 3200, Manchester, NH 03102-3765 | 2013-08-12 |
| 1447682257 | Meaghan O'leary | Nurse Practitioner | 87 Mcgregor St, Suite 3100, Manchester, NH 03102-3765 | 2013-08-02 |
| 1508170820 | Eric Hyman Grover | Psychiatry & Neurology | 87 Mcgregor St, Manchester, NH 03102-3765 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395955 | Priyanka Shekhawat | Psychiatry & Neurology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2012-08-14 |
| 1528377876 | Elliot Professional Services | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Elliot Pediatric Neurology, Manchester, NH 03109-4133 | 2010-10-05 |
| 1093941924 | Muhammad Muddasir Qureshi | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Manchester, NH 03109 | 2009-06-05 |
| 1114120953 | Jeremy Scott Timothy | Psychiatry & Neurology | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2007-06-08 |
| 1780629360 | Anne Catherine Woods | Psychiatry & Neurology | 87 Mcgregor St, Ste 1300, Manchester, NH 03102-3765 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295508 | Paul R Cass | Psychiatry & Neurology | 10 Members Way Ste 300, Dover, NH 03820-5933 | 2005-06-17 |
| 1447359468 | M. Cecilia Pinto Lord | Psychiatry & Neurology | 10 Members Way Ste 300, Dover, NH 03820-5933 | 2006-09-22 |
| 1477564482 | James Filiano | Psychiatry & Neurology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-11 |
| 1215948088 | Richard E Nordgren | Psychiatry & Neurology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-10 |
| 1346238250 | Linda A Specht | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc - Child Development, Lebanon, NH 03756-1000 | 2005-10-13 |
| City | MANCHESTER |
| Zip Code | 03102 |
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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.