MARTHA SOCORRO KOZUB (NPI# 1609098607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609098607 |
| Entity Type | Individual |
| Full Name | MARTHA SOCORRO KOZUB |
| Credential | APN |
| Practice Address |
5514 Hohman Ave. Hammond IN 46320 |
| Mailing Address |
2425 Venice Dr. Schererville IN 46375 |
| Practice Telephone | 2199332018 |
| Practice Fax Number | 2199332647 |
| Mailing Telephone | 2193223319 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71000129A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5514 HOHMAN AVE. |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1912384306 | William Register | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320 | 2015-05-05 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852978 | Andrea Anderson Peevy | Nurse Practitioner | War Memorial Student Union Anx, Hammond, LA 70402-4142 | 2011-03-23 |
| 1457522211 | Kristin Cutrer Lea | Nurse Practitioner | 15770 Paul Vega Dirve, Hammond, LA 70403 | 2008-03-19 |
| 1588876148 | Lynn Marie Miskovich | Nurse Practitioner | 5514 S Hohman Ave, Hammond, IN 46320-1933 | 2007-05-04 |
| 1912961327 | Erin Mcmanus-tomaszewski | Nurse Practitioner | 7 Sibley St, Hammond, IN 46320-1725 | 2006-04-13 |
| 1023508041 | Brittany Michelle Zimmer | Nurse Practitioner | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2018-05-15 |
| 1316342538 | Kenneth J Pitcher | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2014-10-30 |
| 1689962730 | David Allen Dionne | Nurse Practitioner | 17170 S I 12 Service Rd, Hammond, LA 70403-2408 | 2011-07-11 |
| 1407087034 | Shani Gorio Booth | Nurse Practitioner | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2009-07-30 |
| 1972743243 | Jean Genzale-bertrand | Nurse Practitioner | 16070 Doctors Blvd, Hammond, LA 70403-1478 | 2009-02-26 |
| 1457515702 | Edith Fletcher Durand | Nurse Practitioner | 2101 Robin Ave, Suite 1, Hammond, LA 70403-5772 | 2008-07-16 |
| Find all providers in HAMMOND | ||||
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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.