ISAAC JAMES KOLODITCH
NPI 1174191399
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Isaac James Koloditch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISAAC JAMES KOLODITCH (NPI 1174191399) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Isaac James Koloditch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174191399, enumerated as an "individual" on June 14, 2021.
The provider is located at 475 VINE ST WINSTON SALEM, NC 27101 and the phone number is (941) 761-0409.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.