Physician Compare National (NPI:1194933010)

HEALTHCARE PROVIDER: JOHN SCOTT KOZY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194933010
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143487744
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120209000579
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOZY
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	14208 NW 3RD CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	VANCOUVER
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	986855790
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3605713464
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y