KATHLEEN KOSTAS (NPI# 1770778292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770778292 |
| Entity Type | Individual |
| Full Name | KATHLEEN KOSTAS |
| Credential | NP |
| Practice Address |
3601 W. 13 Mile Rd Royal Oak MI 48073-6769 |
| Mailing Address |
3601 W. 13 Mile Rd 400 Fsc Royal Oak MI 48073-6769 |
| Practice Telephone | 2484232481 |
| Mailing Telephone | 2484232481 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704124756 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 W. 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790751683 | Virginia Hagood | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-02-28 |
| 1578054532 | Mohammadali Chokr | Anesthesiology | 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2018-05-25 |
| 1619259033 | Beaumont Health System | General Acute Care Hospital | 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2011-09-12 |
| 1316132749 | Cynthia K Decker | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-10 |
| 1245425768 | Janis Mazzola | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1447445960 | Jenny Byron | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1518152032 | Beverly Hydo | Nurse Practitioner | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-09-07 |
| 1053511527 | Thomas Winter | Emergency Medicine | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-07-23 |
| 1487854972 | Rami Abboud | Internal Medicine | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-07-23 |
| 1285839548 | Magadah Saleh | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, Royal Oak, MI 48073-6769 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742087 | Christine Anne Russell | Nurse Practitioner | 2302 Benjamin Ave, Royal Oak, MI 48073-3793 | 2019-10-22 |
| 1922662972 | Claire Magill | Nurse Practitioner | 307 Normandy Rd, Royal Oak, MI 48073-5111 | 2019-04-25 |
| 1669967618 | Ashleigh Terrell | Nurse Practitioner | 29488 Woodward Ave # 258, Royal Oak, MI 48073-0903 | 2018-06-22 |
| 1073018990 | Joy M Mccleese | Nurse Practitioner | 123 S Main St Ste 260, Royal Oak, MI 48067-2636 | 2018-03-25 |
| 1962922344 | Emily Manzo | Nurse Practitioner | 3577 W 13 Mile Rd Ste 401, Royal Oak, MI 48073-6710 | 2017-06-26 |
| 1720529035 | Stephani L Fleezanis | Nurse Practitioner | 3577 W 13 Mile Rd Ste 204, Royal Oak, MI 48073-6710 | 2017-03-20 |
| 1124310198 | Kathleen Theresa Johnson | Nurse Practitioner | 113 N Campbell Rd, Royal Oak, MI 48067-2345 | 2011-05-10 |
| 1386721397 | Melody A Williams | Nurse Practitioner | 32121 Woodward Ave, Ste 200, Royal Oak, MI 48073-0999 | 2006-11-01 |
| 1467472274 | Gail M Briolat | Nurse Practitioner | 3535 W 13 Mile Rd Ste 407, Royal Oak, MI 48073-6770 | 2006-07-21 |
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| Find all providers in ROYAL OAK | ||||
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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.