MARK EDWARD KOZMINSKY


Address: 2505 Green Tech Dr, Suite A1, State College, PA 16803-2316
Phone: 8142376600

MARK EDWARD KOZMINSKY (NPI# 1861482788) 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) 1861482788
Entity Type Individual
Full Name MARK EDWARD KOZMINSKY
Credential M.D.
Practice Address 2505 Green Tech Dr
Suite A1
State College
PA 16803-2316
Mailing Address 113 Wildernest Ln
Port Matilda
PA 16870-7107
Practice Telephone 8142376600
Practice Fax Number 8142375383
Mailing Telephone 8142376524
Enumeration Date 2005-10-22
Last Update Date 2013-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD033463E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 2505 GREEN TECH DR
SUITE A1
City STATE COLLEGE
State PA
Zip Code 16803-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356584841 Scott Michael Dehart Preventive Medicine 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 2009-04-13
1487861324 John Roberts Enterprises Inc Durable Medical Equipment & Medical Supplies 2505 Green Tech Dr, Suite A2, State College, PA 16803-2316 2007-05-17
1114052750 Centre Health Network, LLC Preventive Medicine 2505 Green Tech Dr, Ste. C, State College, PA 16803-2316 2007-02-23
1568488500 Yi H Kao Otolaryngology 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 2006-07-14
1558394908 Otolaryngology Group of Central Pennsylvania Otolaryngology 2505 Green Tech Dr, Suite C, State College, PA 16803-2316 2006-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
Find all providers in zip 16803

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235224957 Dermatology Assoc of Central Pa, PC Dermatology 1393 N Atherton St, State College, PA 16803-2932 2006-10-04
1811973894 Mary Amanda Jacobs Dermatology 200 Scenery Dr., State College, PA 16801-5602 2005-12-21
1992781959 Sara B Ferguson Dermatology 32 Colonnade Way, State College, PA 16803-2309 2005-12-21
1972020766 Milton S Hershey Medical Center Physicians Group Dermatology 1850 E Park Ave Ste 207, State College, PA 16803-6706 2017-08-23
1841677424 Jennifer Leigh Brooks Dermatology 200 Scenery Dr, State College, PA 16801-7974 2015-05-02
1508203811 Cassandra Joy Simonetta Dermatology 32 Colonnade Way, State College, PA 16803 2013-05-28
1205095486 Nicole F Velez Dermatology 200 Scenery Dr, State College, PA 16801-7974 2008-06-03
1902015597 Matthew Allyn Hazey Dermatology 1850 E Park Ave Ste 312, State College, PA 16803 2007-05-21
1770797953 Lorraine Rosamilia Dermatology 200 Scenery Dr, State College, PA 16801-7974 2007-05-09
1073727251 Stacy Klepeiss Dermatology 200 Scenery Dr, State College, PA 16801-7974 2007-05-09
Find all providers in STATE COLLEGE

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City STATE COLLEGE
Zip Code 16803

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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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