DAVID W. KOSSOFF M.D. LLC NPI 1437206984

NPI Information

NPI: 1437206984
Provider Name: DAVID W. KOSSOFF, M.D., LLC
Classification: Specialist - 174400000X
Entity Type: Organization
:
Address: 110 THOMAS JOHNSON DR STE 335
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5566

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NPI Details

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 .

The provider's business location address is:

110 THOMAS JOHNSON DR STE 335
FREDERICK, MD
ZIP 21702-949
Phone: (301) 624-5566
Fax: (301) 624-5542

The provider's authorized official is Alan Oliver .
The authorized official title is Ceo and has the following contact phone number (786) 530-3820.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/19/2025.

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	174400000X	Specialist		D0054121	MARYLAND	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	682BDA	OTHER	MARYLAND	CAREFRIST OF MD
2	376329	OTHER	MARYLAND	MDIPA OPT CHOICE
3	P10152	OTHER	MARYLAND	INFORMED
4	4040001	OTHER	MARYLAND	CAREFIRST NAT CAP AREA
5	P00206418	OTHER	MARYLAND	RAILROAD MEDICARE
6	133102701	MEDICAID	MARYLAND
7	494710	OTHER	MARYLAND	NCPPO

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: 11/21/2025

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