Provider Type Icon

DAVID W. KOSSOFF M.D. LLC NPI 1437206984


NPI Information

NPI: 1437206984
Provider Name: DAVID W. KOSSOFF, M.D., LLC

Doing Business As: OPTIMAL DIGESTIVE CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
70 THOMAS JOHNSON DR
SUITE 120
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5566
Get Directions

DAVID W. KOSSOFF, M.D., LLC is a specialist in Frederick, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID W. KOSSOFF, M.D., LLC NPI is 1437206984. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optimal Digestive Care.

The provider's business location address is:

70 THOMAS JOHNSON DR
SUITE 120
FREDERICK, MD
ZIP 21702-361
Phone: (301) 624-5566
Fax: (301) 624-5542

The provider's authorized official is Lawrence G Freni .
The authorized official title is Chief Financial Officer and has the following contact phone number (855) 427-8761.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 3/11/2022.


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
1174400000XSpecialistD0054121MARYLANDYes

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
1682BDAOTHERMARYLANDCAREFRIST OF MD
24040001OTHERMARYLANDCAREFIRST NAT CAP AREA
3133102701MEDICAIDMARYLAND
4494710OTHERMARYLANDNCPPO
5P00206418OTHERMARYLANDRAILROAD MEDICARE
6P10152OTHERMARYLANDINFORMED
7376329OTHERMARYLANDMDIPA OPT CHOICE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.