MEDICARE: ROBERT WILLIAM KOSMIDES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35060416	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00394363	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629055223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WILLIAM KOSMIDES MD

Provider Business Mailing Address
First Line	:	7580 NORTHCLIFF AVE
Second Line	:	SUITE 500
City	:	BROOKLYN
State	:	OH
Zip	:	44144-3270
Country	:	US
Telephone Number	:	216-472-2741
Fax Number	:	216-472-2740

Provider Business Practice Location Address
First Line	:	33001 SOLON RD
Second Line	:	SUITE 112
City	:	SOLON
State	:	OH
Zip	:	44139-2839
Country	:	US
Telephone Number	:	440-248-1297
Fax Number	:	440-349-7131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	01/19/2011

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Directions to “ ROBERT WILLIAM KOSMIDES MD” Practice Location

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