Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kossi Mawouli Zotoglo, PA-C

Individual provider Surgical Physician Assistant · NPI 1891202131

Mr. Kossi Mawouli Zotoglo, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2017, 9 years ago. Practices with MD West One PC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone: (402) 995-3462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 N 192nd St, Elkhorn, NE 68022-5363 — (402) 390-4111

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 090410 (IA)

Record details

NPI number1891202131
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2018
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Md West One Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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