DANIEL G KOSTER


Address: 704 S Webster Ave Ste 1c, Green Bay, WI 54301-3528
Phone: 9204333486

DANIEL G KOSTER (NPI# 1992789689) 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) 1992789689
Entity Type Individual
Full Name DANIEL G KOSTER
Credential MD SC
Practice Address 704 S Webster Ave Ste 1c
Green Bay
WI 54301-3528
Practice Telephone 9204333486
Practice Fax Number 9204337994
Mailing Telephone 9204333486
Mailing Fax Number 9204337994
Enumeration Date 2005-12-06
Last Update Date 2020-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 29565 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV LICENSE 29565 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
744 S Webster Ave, 5th Floor, Green Bay, WI 543013505 9204333488

Other Providers DANIEL KOSTER

NPI Name Taxonomy Address Enumeration
1497234215 Daniel Philip Koster Psychologist 209 W Fayette St, Baltimore, MD 21201-3403 2018-08-13
1558715946 Daniel John Koster Internal Medicine 101 W 8th Ave, Spokane, WA 99204-2307 2016-04-21

Office Location

Street Address 704 S WEBSTER AVE STE 1C
City GREEN BAY
State WI
Zip Code 54301-3528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528259397 Venkata Ravi Kiran Kadipi Reddy Family Medicine 2793 Lineville Road, Green Bay, WI 54307 2007-08-07
1104022128 Bellin Memorial Hospital Inc Family Medicine 704 S Webster Ave Ste 201, Green Bay, WI 54301-3528 2007-06-26
1942336839 Richard Gordon Heidorn Family Medicine 2833 Riverside Dr, Green Bay, WI 54301-1635 2007-02-26
1720137656 Daniel G Koster Md Sc Family Medicine 744 S Webster Ave Fl 5, Green Bay, WI 54301-3505 2007-01-09
1356424691 Marjorie J Delo Family Medicine 2595 Development Dr Ste 140, Green Bay, WI 54311-4267 2006-10-23
1700894433 Suzanne H Barnes Family Medicine 1565 Allouez Ave, Green Bay, WI 54311 2006-08-05
1407871684 John Tracy Warren Family Medicine 1685 Macarthur St, Green Bay, WI 54301-2454 2006-07-12
1255364642 Gail S Carels Family Medicine 2502 S. Ashland Ave, Green Bay, WI 54304 2006-07-08
1346293941 Bellin Memorial Hospital Inc Family Medicine 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 2006-05-18
1073566725 Bellin Memorial Hospital Inc Family Medicine 2015 Shawano Ave, Green Bay, WI 54303-2606 2006-05-17
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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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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