DR. WILLIAM DEREK KOTCHKOSKI (NPI# 1750524062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750524062 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DEREK KOTCHKOSKI |
| Credential | M.D. |
| Practice Address |
2600 Navarre Ave Oregon OH 43616-3207 |
| Mailing Address |
P.o. Box 1188 Bowling Green OH 43402-1188 |
| Practice Telephone | 1496967200 |
| Mailing Telephone | 4196967200 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2017-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35124400 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2600 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678625 | Norman G Zavela | Anesthesiology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2005-06-08 |
| 1659972677 | Begum Gocmen | Psychiatry & Neurology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-11-05 |
| 1376153007 | Elizabeth Juliette Wirth | Registered Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-08-07 |
| 1437700085 | Patricia Ann Whitcomb | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-09-25 |
| 1235782988 | Matthew Joseph Pawlaczyk | Nurse Anesthetist, Certified Registered | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-07-22 |
| 1033698774 | Tamara Lynn Carruthers | Licensed Practical Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-08-13 |
| 1275040784 | Aaron Alexander Koerten | Physician Assistant | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-01-05 |
| 1164932109 | Kelsey Hill | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-10-04 |
| 1154847317 | Andrea Kistner | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-08-19 |
| 1336677137 | Jerome Pasquale | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542243 | Stacie Lynn Roshong-denk | Pathology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2006-03-22 |
| 1285614503 | Lawrence John Fanelly Jr. | Pathology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2006-01-20 |
| 1619957933 | Associated Pathologists, Inc. | Pathology | 715 S Coy Rd, Oregon, OH 43616-3007 | 2006-01-20 |
| 1750361770 | Lachman Vishindas Chablani | Pathology | 2600 Navarre Ave, St Charles Mercy Hospital, Oregon, OH 43616-3297 | 2006-01-17 |
| 1013997048 | Alec Nooree Mian | Pathology | 2600 Navarre Ave, St Charles Mercy Hospital, Oregon, OH 43616-3297 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740968 | Dorothy Jean Schirf | Pathology | 6057 Grand Strand Ave, Westerville, OH 43081-8082 | 2019-03-22 |
| 1073048872 | Minqian Shen | Pathology | 616 S College Ave, Apt 106, Oxford, OH 45056-2280 | 2017-04-29 |
| 1740735653 | Shamim Shamsi | Pathology | 1762 Deerbrook Trl, Beavercreek, OH 45434-6666 | 2016-08-20 |
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1326426503 | Gerald Penn Md Inc | Pathology | 2800 Squires Rdg, Columbus, OH 43220-6201 | 2015-05-08 |
| 1699186684 | Jenna Purdy | Pathology | 234 Goodman St Rm 110, Cincinnati, OH 45219-2364 | 2014-05-13 |
| 1548604051 | Inform Diagnostics, Inc | Pathology | 9978 Washington St, Camp Dennison, OH 45111-9717 | 2013-04-26 |
| 1730421124 | Eric William Willis | Pathology | 3805 N High St Ste 302, Columbus, OH 43214-3539 | 2013-03-23 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1386993459 | William Alexander Graham Jr. | Pathology | 8473 County Home Rd, Lisbon, OH 44432-9418 | 2012-09-05 |
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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.