TEGAN KOSKI MD
NPI 1780323907
General Practice in Jacksonville, FL
NPI Status: Active since June 04, 2022
Contact Information
2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (803) 540-6838
- Individual
- Female
- General Practice
- PECOS Enrolled
About TEGAN KOSKI
This page provides the complete NPI Profile along with additional information for Tegan Koski, a primary care provider established in Jacksonville, Florida with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1780323907 assigned on June 2022. The practitioner's primary taxonomy code is 208D00000X with license number MD91062 (SC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1780323907
- Provider Name
- TEGAN KOSKI MD
- Other Name
- TEGAN NOONAN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Location Phone
- (803) 540-6838
- Mailing Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Mailing Phone
- (904) 542-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2022
- Last Update Date
- 05-17-2024
- Code Navigator
A primary care provider (PCP) like Tegan Koski sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD91062
- License State
- SC
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Tegan Koski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 3 | 2 | 3 | 9 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 6 | 2 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 6 + 2 + 6 + 9 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1780323907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194710277 | DR. MARGARET DEGGES ALEXANDER D.D.S. Individual | Dentist (Pediatric Dentistry) | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE JACKSONVILLE, FL 32214 (904) 542-7540 |
| 1821073362 | WILLIAM K BOTT M.D. Individual | Orthopaedic Surgery | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT JACKSONVILLE, FL 32214 (904) 542-7366 |
| 1871572180 | DR. MICHAEL ALVIS CLEVELAND PHARMD Individual | Pharmacist | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT JACKSONVILLE, FL 32214 (904) 542-7406 |
| 1073592465 | PETER KEENE TRUE M. D. Individual | Psychiatry & Neurology (Psychiatry) | 2080 CHILD ST U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX JACKSONVILLE, FL 32214 (904) 542-3473 |
| 1265411383 | NAVAL HOSPITAL JACKSONVILLE Organization | Emergency Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7787 |
| 1780664854 | MS. MARY KATHERINE JACKSON FNP Individual | Nurse Practitioner (Family) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7516 |
| 1902886955 | DR. JOHN HAWLEY D.O. Individual | Psychiatry & Neurology (Neurology) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7373 |
| 1467432914 | DR. LESTER WASHBURN ROMINE M.D. Individual | Internal Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 270-4220 |
| 1275513871 | NH JAX Organization | Family Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7975 |
| 1285614743 | DR. CLIFFORD BLUMENBERG M.D. Individual | Family Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7963 |
| 1720068075 | DR. RAMON PEREZ MD Individual | Radiology (Diagnostic Radiology) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-9257 |
| 1891775102 | DR. KENNETH HARWOOD PH.D. Individual | Psychologist (Clinical) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3473 |
| 1861462921 | GARRY ANDREW SCHULTE DDS Individual | Dentist (General Practice) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3441 |
| 1265402457 | DR. LYMON NICHOLAS ROAN O.D. Individual | Optometrist | 2080 CHILD ST JACKSONVILLE, FL 32214 (305) 293-4600 |
| 1285604249 | ROBERT MORALES D.O. Individual | Obstetrics & Gynecology | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7419 |
| 1235109836 | DR. REGINA P. O'NAN OD, MBA, FAAO Individual | Optometrist | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3500 |
| 1043280894 | DR. JOSEPH ANTHONY DRAUDE DDS Individual | Dentist (General Practice) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3441 |
| 1144290628 | JOHN WIDERGREN Individual | Surgery | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 215-7720 |
| 1346210929 | MR. TIMOTHY K BURNHAM PA-C, MPAS Individual | Physician Assistant (Medical) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3500 |
| 1598735359 | ALAN VANCE SIEWERTSEN R.D. Individual | Dietitian, Registered | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-9786 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780323907, enumerated in the NPI registry as an "individual" on June 04, 2022
The provider is located at 2080 Child St Jacksonville, Fl 32214 and the phone number is (803) 540-6838
The provider's speciality is General Practice with taxonomy code 208D00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.