PETER W KOZICKY (NPI# 1619975992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619975992 |
| Entity Type | Individual |
| Full Name | PETER W KOZICKY |
| Credential | MD |
| Practice Address |
50 Moisey Drive Suite 202 Hazleton PA 18202-9297 |
| Mailing Address |
Po Box 1347 Kingston PA 18704-0347 |
| Practice Telephone | 5705016730 |
| Practice Fax Number | 5705013837 |
| Mailing Telephone | 5702888881 |
| Mailing Fax Number | 5702888065 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD020512E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006446160003 | 05 |
| Street Address |
50 MOISEY DRIVE SUITE 202 |
| City | HAZLETON |
| State | PA |
| Zip Code | 18202-9297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780010751 | Bonnie Gregory | Nurse Practitioner | 50 Moisey Drive, Suite 202, Hazleton, PA 18202-9297 | 2013-09-22 |
| 1003009606 | Plus 1 Rx, LLC | Pharmacy | 50 Moisey Drive, Suite 218, Hazleton, PA 18202-9296 | 2007-08-27 |
| 1689873473 | Daniel Gavio | Chiropractor | 50 Moisey Drive, Suite 206, Hazleton, PA 18202 | 2007-07-12 |
| 1356549273 | Valley Orthopedic Specialists Inc | Orthopaedic Surgery | 50 Moisey Drive, Suite 202, Hazleton, PA 18222 | 2007-07-03 |
| 1558400010 | Yaqoob Mohyuddin | Internal Medicine | 50 Moisey Drive, Suite 109, Hazleton, PA 18202 | 2007-02-05 |
| 1518031228 | Syed F Qadri | Physical Medicine & Rehabilitation | 50 Moisey Drive, Suite 206, Hazleton, PA 18202 | 2006-11-17 |
| 1851406821 | Hazleton Surgery Center, LLC | Clinic/Center | 50 Moisey Drive, Suite 100, Hazleton, PA 18202-9297 | 2006-08-20 |
| 1700839008 | Beechmont Anesthesia | Anesthesiology | 50 Moisey Drive, Suite 204, Hazleton, PA 18202 | 2006-05-18 |
| 1285684324 | Shu-guang Xu | Psychiatry & Neurology | 50 Moisey Drive, Suite 210, Hazleton, PA 18202-9297 | 2006-05-11 |
| 1013918176 | Paula A Feeney | Nurse Anesthetist, Certified Registered | 50 Moisey Drive, Suite 204, Hazleton, PA 18202 | 2005-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428184 | Patch Town Emergency Physicians LLC | Emergency Medicine | 26 Station Circle, Hazleton, PA 18202 | 2017-10-17 |
| 1770015653 | Lauren Sanzi | Chiropractor | 426 Airport Beltway, 132a, Hazle Township, PA 18202 | 2017-03-30 |
| 1770913667 | Marian Filkins | Physical Therapy Assistant | 401-403 Hazle Township Blvd, Hazle Township, PA 18202 | 2013-11-14 |
| 1528305851 | Christian John Fink | Registered Nurse | 405 Winters Ave, West Hazleton, PA 18202 | 2013-01-07 |
| 1952639601 | Kathleen S. Veglia, M.d. | Pathology | 1525 N. Churct St., Hazle Township, PA 18202 | 2009-11-18 |
| 1407182447 | Sarah Marie Magula | Registered Nurse | 6 Diana Ln, West Hazleton, PA 18202 | 2009-10-27 |
| 1932354669 | Robert W. Zukoski | Technician/Technologist | 1097 No. Church St., Hazelton, PA 18202 | 2008-11-21 |
| 1699947085 | Dr Sandra M Krokos & Thomas P Kislan PC | Optometrist | 281 Airport Road, Hazle Township, PA 18202 | 2008-03-26 |
| 1952478349 | Joseph Serafin Pelly | Dentist | 20 East Broad St, West Hazelton, PA 18202 | 2006-11-29 |
| 1659457158 | Derek Enterprises | Physical Therapist | 106 Rotary Drive, Valmont Industrial Park, W Hazleton, PA 18202 | 2006-10-27 |
| Find all providers in zip 18202 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235253360 | Frank Charles Polidora | Orthopaedic Surgery | 1710 East Broad St, Hazleton, PA 18201 | 2007-03-16 |
| 1457623688 | Falvello Orthopedics | Orthopaedic Surgery | 1097 N Church St, Hazleton, PA 18202-1465 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
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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.