DR. KEITH CHRISTOPHER KOCIS (NPI# 1740360841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740360841 |
| Entity Type | Individual |
| Full Name | DR. KEITH CHRISTOPHER KOCIS |
| Credential | MD |
| Practice Address |
3300 Gallows Rd Falls Church VA 22042 |
| Mailing Address |
3300 Gallows Rd Falls Church VA 22042-3307 |
| Practice Telephone | 7036452819 |
| Mailing Telephone | 7036452819 |
| Mailing Fax Number | 7037763503 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
0101268051 | VA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME126898 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
2000-00855 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016871100 | 05 | |
| NC | 89126Y3 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Gainesville, FL 326103003 | 3522738234 | 3522738593 |
| Street Address |
3300 GALLOWS RD |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177942 | Bestpractices, Inc. | Emergency Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2005-07-11 |
| 1659971216 | Mahsa Roohani | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-31 |
| 1861092330 | Jessica Merberg | Genetic Counselor, MS | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-26 |
| 1366042780 | Kirsten Smith | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-26 |
| 1629677026 | Laurie Brutus | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-19 |
| 1184223539 | Mirnesa Tikvina | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-17 |
| 1073111779 | Kirsten Kadlec | Nurse Anesthetist, Certified Registered | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-14 |
| 1114525953 | Jennifer Yung | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-14 |
| 1720685522 | Laura Musser | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-05 |
| 1154938926 | Heather Elizabeth Carvalho | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578741500 | Charlene Banks | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-01-31 |
| 1477610830 | Cynthia Lee Ann Gibson | Pediatrics | 3300 Gallows Rd, Department of Pediatrics, Falls Church, VA 22042-3307 | 2007-01-03 |
| 1225067648 | William H Stotz | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-30 |
| 1982632196 | William K Dockery | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-28 |
| 1205862695 | Peter D Grundl | Pediatrics | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-06-25 |
| 1942262290 | James R. Phillips | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-04-03 |
| 1487656815 | Kathleen M Donnelly | Pediatrics | 3300 Gallows Rd, Department of Pediatrics, Falls Church, VA 22042-3307 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417394370 | Kara D Greenfield | Pediatrics | 1008 E Clay St, Richmond, VA 23298-5056 | 2013-05-31 |
| 1801844980 | Anthony J. Camerota | Pediatrics | 5 Hospital Dr, Charlottesville, VA 22908-9007 | 2006-05-04 |
| 1740279603 | Andrew P. Metinko | Pediatrics | Lee St Fl 7, Charlottesville, VA 22908-0001 | 2005-10-13 |
| 1023019056 | Abhik Kumar Biswas | Pediatrics | Naval Medical Center Portsmouth, Picu, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2005-08-01 |
| 1346244308 | James L Laham | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2005-06-08 |
| 1174049282 | Oliver Laurent Karam | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-08-21 |
| 1255750311 | Sunana Singh | Pediatrics | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2014-04-15 |
| 1467711614 | Vu Trieu Nguyen | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-05-09 |
| 1265708861 | Michelle Lynn Olson | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2012-03-28 |
| 1821272576 | Alia M Iqbal O'meara | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
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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.