SARAH R KOSCICA MD NPI 1003814625

NPI Information

NPI: 1003814625
Provider Name: SARAH R KOSCICA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1701 W GARDEN ST
PEORIA, IL
ZIP 61605
Phone: (309) 680-7600
Get Directions

Sarah R Koscica, MD is a family medicine in Peoria, IL. The provider is 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. Sarah R Koscica, MD NPI is 1003814625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1701 W GARDEN ST
PEORIA, IL
ZIP 61605
Phone: (309) 680-7600
Fax: (309) 680-7686

The NPI 1003814625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		036120457	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142205	OTHER	OHIO	CARE CHOICES
2	142205	OTHER	OHIO	PRIORITY HEALTH
3	344428256	OTHER	OHIO	FIRST HEALTH
4	133726	MEDICARE UPIN	OHIO
5	4763660	MEDICAID	MICHIGAN
6	BE4163081	MEDICARE PIN
7	01513	OTHER	OHIO	PARAMOUNT
8	130662	OTHER	OHIO	NATIONWIDE
9	344428256	OTHER	CALIFORNIA	BEECH STREET
10	000000271872	OTHER	OHIO	ANTHEM MEDICAID
11	000000371872	OTHER	OHIO	ANTHEM COMMERICAL
12	344428256	OTHER	OHIO	EMERALD
13	2581102	MEDICAID	OHIO
14	3303596	OTHER	OHIO	CIGNA
15	344428256065	OTHER	OHIO	CARESOURCES
16	4753670	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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