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COZE HEALTH MEDICAL, LLC
NPI 1356817894
Family Medicine in West Lafayette, IN

Active since October 23, 2018CLIA 15D2165591 · Waiver
156 SAGAMORE PKWY W STE A, WEST LAFAYETTE, IN 47906(765) 204-1122(765) 205-8322 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2020, Oct 25, 2018 (2 updates tracked since 2018).

About Coze Health Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COZE HEALTH MEDICAL, LLC (NPI 1356817894) is a healthcare organization registered as a family medicine in West Lafayette, Indiana and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Timothy B O'donnell, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1356817894
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOZE HEALTH MEDICAL, LLC
Location Address156 SAGAMORE PKWY W STE AWest Lafayette, IN 47906-1569
Mailing Address156 Sagamore Pkwy W Ste AWest Lafayette, IN 47906-1569 · (765) 204-1122 · Fax (765) 205-8322
Phone(765) 204-1122
Fax(765) 205-8322
Organization SubpartNo
Authorized OfficialTimothy B O'donnellPhysician/owner · (317) 379-3456
Enumeration DateOctober 23, 2018
Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1356817894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
156 SAGAMORE PKWY W STE A, West Lafayette, IN 47906
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Other Identifiers 2

Other01066964AIN · Indiana Professional Licensing Agency
Other01072209AIN · Indiana Professional Licensing Agency

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2165591

Coze Health Medical LLC · West Lafayette, IN
Active · expires Apr 30, 2027
CLIA Number15D2165591
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorTimothy B. Odonnell
Laboratory Phone(765) 204-1122
Laboratory LocationCoze Health Medical LLC156 Sagamore Parkway W, West Lafayette, IN 47906
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY B O'DONNELL MD
Family Medicine
156 SAGAMORE PKWY W STE A
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 204-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coze Health Medical, LLC's NPI number?

The NPI number for Coze Health Medical, LLC is 1356817894. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Coze Health Medical, LLC located?

Coze Health Medical, LLC is located at 156 Sagamore Pkwy W Ste A, West Lafayette, IN 47906. The listed phone number is (765) 204-1122.

What is Coze Health Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Coze Health Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2165591) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coze Health Medical, LLC accept?

Health plans from CareSource list Coze Health Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coze Health Medical, LLC was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.