JUSTIN KOSIROG


Address: 800 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5018
Phone: 4052715428

JUSTIN KOSIROG (NPI# 1255726238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255726238
Entity Type Individual
Full Name JUSTIN KOSIROG
Practice Address 800 Stanton L Young Blvd # Wp1345
Oklahoma City
OK 73104-5018
Practice Telephone 4052715428
Mailing Telephone 4052715428
Enumeration Date 2015-04-06
Last Update Date 2020-05-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
35686 OK Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1740 W Taylor St, Chicago, IL 606127232 8666002273

Office Location

Street Address 800 STANTON L YOUNG BLVD # WP1345
City OKLAHOMA CITY
State OK
Zip Code 73104-5018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417214214 Thomas James Corredine Internal Medicine 800 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5018 2012-04-18
1902338239 Hashroop Kaur Gurm Internal Medicine 800 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5018 2017-03-27
1134539729 Vincent Sami Petros Internal Medicine 800 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5018 2014-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
Find all providers in zip 73104

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568706554 Ahmad S Jazzar Internal Medicine 5617 Normandy Ter, Oklahoma City, OK 73142-1823 2012-11-15
1730444886 Molly Beth Lindquist Disbrow Internal Medicine 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 2012-07-05
1306111448 Southwest Gastroenterology Associates Pllc Internal Medicine 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 2012-03-21
1528199866 Verapan Vongthavaravat Internal Medicine 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 2007-03-08
1992852875 Shih-kuang Hong Internal Medicine 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 2007-01-04
1083709430 Imad A Zantout Internal Medicine 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 2006-10-03
1659308435 Rajesh Kanagala Internal Medicine 825 Ne 10th St # Street4e, Oklahoma City, OK 73104-5417 2006-06-27
1649245929 Jeff D Scott Internal Medicine 5015 N Pennsylvania Ave, Suite 303, Oklahoma City, OK 73112-8891 2006-02-21
1285606491 Sophia Janjua Khan Internal Medicine 4205 Mcauley Blvd Ste 375, Oklahoma City, OK 73120 2006-02-02
1639153554 Ross Stanford Keener Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2005-12-05
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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