Healthcare Provider Details

I. General information

NPI: 1295170389
Provider Name (Legal Business Name): KASSANDRA JEAN KOSINSKI ROMERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 S. ALMA SCHOOL ROAD BOMC ATTN HOSPITALISTS
CHANDLER AZ
85286
US

IV. Provider business mailing address

1405 S ALMA SCHOOL RD
CHANDLER AZ
85286-7144
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-7420
  • Fax: 480-646-3826
Mailing address:
  • Phone: 480-256-7420
  • Fax: 480-646-3826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number54068
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number54068
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: