DR. MARTIN KOSCIUK


Address: 225 E Jackson Ave, Emergency Department, Jonesboro, AR 72401-3119
Phone: 8702075234

DR. MARTIN KOSCIUK (NPI# 1477745644) 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) 1477745644
Entity Type Individual
Full Name DR. MARTIN KOSCIUK
Credential MD
Practice Address 225 E Jackson Ave
Emergency Department
Jonesboro
AR 72401-3119
Mailing Address 225 E Jackson Ave
Jonesboro
AR 72401-3119
Practice Telephone 8702075234
Mailing Telephone 7144546056
Enumeration Date 2007-08-13
Last Update Date 2016-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
E-6938 AR Allopathic & Osteopathic Physicians

Office Location

Street Address 225 E JACKSON AVE
EMERGENCY DEPARTMENT
City JONESBORO
State AR
Zip Code 72401-3119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609878867 Richard R Reinholtz Radiology 225 E Jackson Ave, Jonesboro, AR 72401-3119 2005-06-01
1528668241 David Daniel Joel Hoffman II Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2020-10-30
1003425315 Jesse Ash Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2020-07-23
1205457090 Linda Gail Brown Registered Nurse 225 E Jackson Ave, Jonesboro, AR 72401-3119 2020-05-03
1225689151 Rocio Emy Roades Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-09-23
1992350730 Leslie Britton Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-08-08
1538729116 Leah Gathright Registered Nurse 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-06-17
1831753243 Katherine Ann Mcfarlin Student in an Organized Health Care Education/Training Program 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-05-01
1336602549 Terrance Matthew Kane Student in an Organized Health Care Education/Training Program 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-04-13
1841753324 Aldo Giovanni Estella Student in an Organized Health Care Education/Training Program 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972666147 Ted Shields Emergency Medicine 1710 Mayfield Drive, Jonesboro, AR 72401 2006-12-19
1881794048 Raymond A Mccarthy Emergency Medicine 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30326 2006-09-25
1598870214 Michael D Neff Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-20
1811001282 James W Lee Emergency Medicine 1001 West Parker Road, Suite B First Care - Parker Road, Jonesboro, AR 72404 2006-08-19
1023122413 Mark M Smith Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-19
1518071919 Melanie E King Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-19
1366454209 Shane R Speights Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-12
1447275656 Karen Peck Emergency Medicine 333 Red Wolf Blvd, Jonesboro, AR 72405-9739 2006-07-12
1942225131 Cole Peck Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-07-12
1033134218 William C Mcbryde Emergency Medicine 225 E Jackson Ave, Jonesboro, AR 72401-3119 2006-07-12
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72401

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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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