NICHOLAS A. KOZLOV M.D. – NPI #1912992975
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

NICHOLAS KOZLOV is a physician located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1912992975 to NICHOLAS KOZLOV on September 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 12 years ago on Nov 18, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS KOZLOV below.

NPI Profile for
NICHOLAS A. KOZLOV

NPI Number
1912992975
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS A. KOZLOV
Credentials
M.D.
Primary location
620 10TH STREET N.
SAINT PETERSBURG, FL 33705-1407
Phone: (727) 824-7116 Fax: (727) 824-7177
Mailing address
PO BOX 12868
ST PETERSBURG, FL 33733-2868
Phone: (727) 824-8357 Fax: (727) 824-3132
Sole Proprietor
No
Updated
Identifiers

Identifiers for NICHOLAS KOZLOV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL069464900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
FL ME45033

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.