DR. KENNETH KOSCHNITZKI (NPI# 1639131485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639131485 |
| Entity Type | Individual |
| Full Name | DR. KENNETH KOSCHNITZKI |
| Credential | M.D. |
| Practice Address |
125 Commonwealth Dr Greenville SC 29615-4812 |
| Mailing Address |
101 Rockberry Ter Simpsonville SC 29681-4766 |
| Practice Telephone | 8646754414 |
| Mailing Telephone | 8642866515 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
28286 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 282866 | 05 | |
| GA | 849255148A | 05 | |
| NC | 89065EY | 05 |
| Street Address |
125 COMMONWEALTH DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407200769 | Csfa Pro LLC | General Acute Care Hospital | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2016-04-22 |
| 1639536311 | George Belton | Social Worker | 125 Commonwealth Dr, Suite 390, Greenville, SC 29615-4812 | 2016-01-26 |
| 1962804500 | Jill Mulkey | Clinical Nurse Specialist | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2014-09-25 |
| 1851791396 | Elaine Catto | Nurse Practitioner | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2014-09-03 |
| 1780007807 | St Francis Hospital Inc | Emergency Medicine | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2014-01-24 |
| 1548568355 | Shushan Elam | Nurse Anesthetist, Certified Registered | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2011-03-02 |
| 1588961312 | Jennifer Sara Frazor | Registered Nurse | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2011-02-14 |
| 1083850085 | Lisa Oxley Riddle | Nurse Anesthetist, Certified Registered | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2008-12-21 |
| 1558493817 | Janet B Mullins | Nurse Anesthetist, Certified Registered | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2007-03-12 |
| 1124158803 | Cherry Traxler Booth | Nurse Anesthetist, Certified Registered | 125 Commonwealth Dr, Greenville, SC 29615-4812 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053568246 | Shivani Desai | Pediatrics | 10 Sable Glen Dr, Greenville, SC 29615-6739 | 2008-08-19 |
| 1396776225 | Gerald Joseph Ferlauto | Pediatrics | 29 North Academy Street, Greenville, SC 29601-2629 | 2006-07-06 |
| 1376535450 | Stephen C Engelke | Pediatrics | Children's Hospital 227, Ecu Physicians Pediatric Neonatology PCmh Neonatal, Greenville, NC 27834 | 2005-08-16 |
| 1841695095 | Juan Luis Guillen Hernandez | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-10-30 |
| 1497188189 | Uduak Akpan | Pediatrics | 600 Moye Blvd, Ecu Peds/neonatology, Greenville, NC 27834-4300 | 2013-08-16 |
| 1790020071 | Texas Neonatology Associates LLC | Pediatrics | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2012-11-28 |
| 1730479767 | Joshua Matthew Cooper | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2011-04-11 |
| 1407150089 | Michael Scott Stewart | Pediatrics | 701 Grove Rd, Neonatology Division, Greenville, SC 29605-4210 | 2010-12-22 |
| 1528386851 | Matthew Frederic Halliday | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2010-05-11 |
| 1851520258 | Nicole Ann Cothran | Pediatrics | 701 Grove Road, Greenville, SC 29605-5601 | 2009-07-07 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on DR. KENNETH KOSCHNITZKI.
| 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.