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Mimi S Kokoska

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery

4600 W Loomis Rd Suite 201
Greenfield , Wisconsin 53220-4858

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Plastic Surgeon (Head & Neck)
  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

4600 W Loomis Rd Suite 201 Greenfield , Wisconsin 53220-4858

First Address

  • Mimi S Kokoska
  • 4600 W Loomis Rd Suite 201
  • Greenfield, WI
  • Zip : 53220-4858
  • Phone : (414) 281-4466

Second Address

  • Mimi S Kokoska
  • 4600 W Loomis Rd Suite 201
  • Greenfield, WI
  • Zip : 53220-4858
  • Phone : (414) 281-4466

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FAQs


Where did Mimi S Kokoska attend graduate school?

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Where did Mimi S Kokoska do her residency?

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Where did Mimi S Kokoska do her fellowship?

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Is Mimi S Kokoska board certified?

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What type of doctor is Mimi S Kokoska

Otolaryngologist (ENT Doctor)

In what state does Mimi S Kokoska practice in?

Wisconsin

Where is Mimi S Kokoska ’s practice located?

4600 W Loomis Rd Suite 201 , Greenfield, Wisconsin, 53220-4858

What is Mimi S Kokoska ’s gender?

Female

Is Mimi S Kokoska a sole practitioner?

No

Is Mimi S Kokoska accepting new patients?

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What languages does Mimi S Kokoska speak?

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Does Mimi S Kokoska accept insurance?

Yes, Mimi S Kokoska accepts insurance

Does Mimi S Kokoska offers telemedicine?

Mimi S Kokoska has not indicated if she offers telemedicine

What is Mimi S Kokoska ’s professional license number?

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What is Mimi S Kokoska ’s NPI number?

1770674897

Does Mimi S Kokoska have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Y00000X Otolaryngologist (ENT Doctor) 01054222A IN
Y 207Y00000X Otolaryngologist (ENT Doctor) 64145 WI
N 207YX0007X Plastic Surgeon (Head & Neck) E-3850 AR
N 207YX0905X Otolaryngology/Facial Plastic Surgery E-3850 AR

National Provider Identifier

NPI 1770674897
Provider Name Mimi S Kokoska
First Address Greenfield, WI 53220-4858
Second Address Greenfield, WI 53220-4858
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/09/2006
Last Update Date 30/07/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
03120016300 QUALCHOICE (01) AR
150875001 (05) AR
E3850 TRICARE (01) AR
F48248 (02)
P00082526 RAILROAD MEDICARE (01) AR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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