MICHAEL KOZMINSKI


Address: 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607
Phone: 6164593551

MICHAEL KOZMINSKI (NPI# 1750678264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750678264
Entity Type Individual
Full Name MICHAEL KOZMINSKI
Credential MD
Practice Address 245 Cherry St Se Ste 202
Grand Rapids
MI 49503-4607
Practice Telephone 6164593551
Practice Fax Number 6164591060
Mailing Telephone 6164593551
Mailing Fax Number 6164591060
Enumeration Date 2011-07-05
Last Update Date 2016-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 4301098131 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE MK098131 01

Office Location

Street Address 245 CHERRY ST SE STE 202
City GRAND RAPIDS
State MI
Zip Code 49503-4607

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1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003013392 Erik M Ratchford Urology 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 2007-06-29
1255537056 Naveed Naeem Urology 161 Ottawa Ave Nw Ste 300, Grand Rapids, MI 49503-2701 2007-06-27
1467561480 Urology Surgeons PC Urology 1000 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 2006-08-30
1467497495 John Harrison Kopchick Urology 2240 Teal Ct Se, Grand Rapids, MI 49546-7939 2006-06-16
1093755092 Richard Kahnoski Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2006-06-07
1376501502 Thomas J Maatman Urology 4047 E. Hills Court Se, Grand Rapids, MI 49546-6249 2006-05-04
1972596823 Russell K Lawson Urology 1601 Golf Course Road, Grand Rapids, MN 55744 2005-08-25
1366853293 Conrad Maxwell Tobert Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2014-05-14
1528403235 George Michael Ghareeb Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2013-05-08
1740419001 John E Humphrey Urology 4069 Lake Dr Se, Ste 313, Grand Rapids, MI 49546-8816 2009-07-08
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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