IndividualActive
Michael Koznarsky, M.D.
NPI 1366455644 · General Practice Physician · Tacoma, WA
Provider details
- NPI number
- 1366455644
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01058557A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9040 Reid St Attn Mchj-Qcr
Tacoma, WA 98431-1100
Phone: (253) 968-2252
Approximate (ZIP-level) locationGet directions
Mailing address
65 Jackson St
Steilacoom, WA 98388-1721
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2013-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.