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COZE HEALTH MEDICAL LLC NPI 1356817894


NPI Information

NPI: 1356817894
Provider Name: COZE HEALTH MEDICAL, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D2165591

Address:
156 SAGAMORE PKWY W STE A
WEST LAFAYETTE, IN
ZIP 47906
Phone: (765) 204-1122
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COZE HEALTH MEDICAL, LLC is a family medicine in West Lafayette, IN. 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. COZE HEALTH MEDICAL, LLC NPI is 1356817894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

156 SAGAMORE PKWY W STE A
WEST LAFAYETTE, IN
ZIP 47906-569
Phone: (765) 204-1122
Fax: (765) 205-8322

The provider's authorized official is Timothy B O'donnell .
The authorized official title is Physician/owner and has the following contact phone number (317) 379-3456.

The CLIA number assigned to this NPI record is 15D2165591 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 3/25/2020.


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
1207Q00000XFamily MedicineYes

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
101066964AOTHERINDIANAINDIANA PROFESSIONAL LICENSING AGENCY
201072209AOTHERINDIANAINDIANA PROFESSIONAL LICENSING AGENCY

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.