Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164499463 Individual Practitioner Female Practitioner

Sandra Leigh Kosik , PA

Physician Assistant • Canby, OR

Professional Overview & Biography Verified Profile Summary

Sandra Kosik, PA is a registered healthcare professional specializing in Physician Assistant in Canby, OR. Practice services are available at 200 S HAZEL DELL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 S Hazel Dell Way

Canby, OR 970137829

Telephone 5032639500
Fax 5032631383
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Canby, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Canby, OR (2106 Statewide)

Telehealth Adoption Rate
63.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00850

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
136296 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Karen Harris , DO

Family Medicine

NPI 1033278866

Doctor of Osteopathic Medicine (D.O.)

NPI 1245254606

Doctor of Medicine (M.D.)

Tara Foley , PA-C

Physician Assistant

NPI 1528447950

Physician Assistant (Certified)

Eric Timmons , FNP

Nurse Practitioner - Family

NPI 1588262687

Family Nurse Practitioner

NPI 1710185087

Doctor of Medicine (M.D.)

Kelsey Fyfe , FNP

Nurse Practitioner - Family

NPI 1760090583

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2012

Registered at 200 S HAZEL DELL WAY, CANBY, OR 970137829 (Tel: 5032639500)

📍
Updated Business Mailing Address December 26, 2012

Registered at 18465 S WINNIFRED AVE, MOLALLA, OR 970388847 (Tel: 5033195810)

👤
Provider Name / Credentials Updated December 26, 2012

Recorded as SANDRA KOSIK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2012

Physician Assistant (License #PA00850 in OR)

🟢
Initial NPI Registration & Enumeration March 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164499463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2006
Last Update: December 26, 2012
Sole Proprietor: No

Mailing Address

18465 S Winnifred Ave

Molalla, OR 970388847

Phone: 5033195810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.