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

Samuel Alexander Kociola

Individual provider Surgery Physician · NPI 1467915587

Samuel Alexander Kociola is a General Surgery in Kittanning, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Glade Run Medical Associates Inc, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

500 Medical Arts Bldg Ste 540
Kittanning, PA 16201-7137
Phone: (724) 543-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 N Meadows Dr, Grove City, OH 43123-2546 — (614) 663-4550

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS023836 (PA)

Record details

NPI number1467915587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address5300 N Meadows Dr, Grove City, OH 43123-2546

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Glade Run Medical Associates Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kittanning