MARY KOSHY (NPI# 1609972967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609972967 |
| Entity Type | Individual |
| Full Name | MARY KOSHY |
| Credential | M.D. |
| Practice Address |
6215 21st Ave W Suite B Bradenton FL 34209-7819 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 9417952270 |
| Practice Fax Number | 9417957995 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME92795 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
M0781 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 3446756 | 01 |
| FL | WELLCARE | 505100 | 01 |
| FL | RAILROAD MEDICARE | P00421717 | 01 |
| FL | BCBS OF FL | 17238 | 01 |
| FL | AVMED | 309040 | 01 |
| FL | BCBS | 17238 | 01 |
| FL | 278934500 | 05 | |
| FL | P502151 | 05 | |
| FL | RAILROAD MCR | P01257637 | 01 |
| FL | FREEDOM HEALTH | P983665 | 01 |
| FL | AETNA | 7763556 | 01 |
| FL | OPTIMUM | P940526 | 01 |
| FL | RR MEDICARE | P00898040 | 01 |
| Street Address |
6215 21ST AVE W SUITE B |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-7819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419592 | Park South Imaging Center Ltd | Clinic/Center | 6215 21st Ave W, West #a, Bradenton, FL 34209-7819 | 2005-12-28 |
| 1730491184 | Florida Cancer Physicians Network LLC | Radiology | 6215 21st Ave W, Bradenton, FL 34209-7819 | 2010-07-13 |
| 1871797795 | Point West Oncology | Radiology | 6215 21st Ave W, B, Bradenton, FL 34209-7819 | 2007-06-13 |
| 1871710954 | Radiation Oncology Centers of Southwest Florida LLC | Radiology | 6215 21st Ave W, #b, Bradenton, FL 34209-7819 | 2007-04-19 |
| 1972645844 | Westside Radiation Oncology, Inc | Radiology | 6215 21st Ave W, Bradenton, FL 34209-7819 | 2007-02-13 |
| 1730296229 | Radiation Oncology Centers of Southwest Florida LLC | Radiology | 6215 21st Ave W, Suite B, Bradenton, FL 34209-7819 | 2006-08-23 |
| 1518917087 | Tri D Nguyen | Radiology | 6215 21st Ave W, Suite B, Bradenton, FL 34209-7819 | 2006-05-12 |
| 1598715492 | Cornelius C Turalba | Radiology | 6215 21st Ave W, Suite B, Bradenton, FL 34209-7819 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150114 | Fuo LLC | Radiology | 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | 2017-01-12 |
| 1437461886 | Florida Cancer Physicians Network LLC | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2010-07-13 |
| 1730491184 | Florida Cancer Physicians Network LLC | Radiology | 6215 21st Ave W, Bradenton, FL 34209-7819 | 2010-07-13 |
| 1235333964 | Radiation Oncology Services of Manatee | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2007-06-14 |
| 1871797795 | Point West Oncology | Radiology | 6215 21st Ave W, B, Bradenton, FL 34209-7819 | 2007-06-13 |
| 1871710954 | Radiation Oncology Centers of Southwest Florida LLC | Radiology | 6215 21st Ave W, #b, Bradenton, FL 34209-7819 | 2007-04-19 |
| 1972645844 | Westside Radiation Oncology, Inc | Radiology | 6215 21st Ave W, Bradenton, FL 34209-7819 | 2007-02-13 |
| 1275638652 | Radiation Oncology Centers of Southwest Florida, LLC | Radiology | 401 Manatee Ave E, Bradenton, FL 34208-1143 | 2006-09-13 |
| 1184729568 | Radiation Oncology Centers of Southwest Florida LLC | Radiology | 411 2nd St E, Bradenton, FL 34208-1001 | 2006-09-13 |
| 1720198542 | Radiation Oncology Centers of Southwest Florida, LLC | Radiology | 601 Manatee Ave W, Bradenton, FL 34205-8610 | 2006-08-30 |
| Find all providers in BRADENTON | ||||
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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.