Heather Koza (NPI# 1194045526, PAC ID# 1153550223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194045526 |
| PAC ID by PECOS | 1153550223 |
| Professional Enrollment ID | I20140213000077 |
| Full Name | Heather Koza |
| Organization Legal Name | S PARK-DAVIS HEALTHCARE |
| Address |
30880 Beck Rd Novi MI 48377-1000 |
| Phone Number | 2489260009 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204126857 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230002 | ST MARY MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30880 Beck Rd, Novi, MI 48377-1000 | 2489260009 | S PARK-DAVIS HEALTHCARE |
| Organization Legal Name | S PARK-DAVIS HEALTHCARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sungnan Park Davis | Internal Medicine | S Park-davis Healthcare | 30880 Beck Rd, Novi, MI 48377-1000 |
| Street Address |
30880 BECK RD |
| City | NOVI |
| State | MI |
| Zip | 48377-1000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sungnan Park Davis | Internal Medicine | S Park-davis Healthcare | 30880 Beck Rd, Novi, MI 48377-1000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad Alabbas | Internal Medicine | 31208 Beck Rd, Suite A, Novi, MI 48377-1022 | |
| Sheela Prem | Physical Therapy | 45023 W Pontiac Trl, Novi, MI 48377-1255 | |
| Carole Ann Paveglio | Optometry | 45075 W Pontiac Trail, Novi, MI 48377-1257 | |
| Alexandra Kay Hargenrader Williamson | Optometry | 42081 W 14 Mile Rd, Novi, MI 48377-1574 | |
| Steven R Migdalewicz | Podiatry | 30750 Tanglewood Dr, Novi, MI 48377-1589 | |
| Russell Diponio | Family Medicine | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
| Cassandra E Wormack | Family Medicine | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
| Carolyn C Helfman | Physician Assistant | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
| Christine E Maxim | Nurse Practitioner | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
| Josilyn Elise Goebel | Nurse Practitioner | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
| Find all physicians in zip 48377 | |||
| City | NOVI |
| Zip Code | 48377 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NOVI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Heather Koza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.