DR. PAUL S KOH (NPI# 1093784902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093784902 |
| Entity Type | Individual |
| Full Name | DR. PAUL S KOH |
| Credential | M.D. |
| Practice Address |
3311 Riverbend Drive Springfield OR 97477 |
| Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
| Practice Telephone | 5412222866 |
| Practice Fax Number | 5412222843 |
| Mailing Telephone | 3607291459 |
| Mailing Fax Number | 3607293066 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD20530 | OR | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD20530 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 269927 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568562536 | Paul Y Koh | Specialist | 6610 N Rockwell St, Chicago, IL 60645-5023 | 2006-09-22 |
| Street Address |
3311 RIVERBEND DRIVE |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157682 | Jerold A Hawn | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
| 1144475328 | Carrie Margaret Puckett | Internal Medicine | 3311 Riverbend Drive, Oregon Heart and Vascular Institute, Springfield, OR 97477 | 2008-12-01 |
| 1255376570 | Leo Lebitty | Physician Assistant | 3311 Riverbend Drive, Springfield, OR 97477 | 2006-06-19 |
| 1710956321 | David J Duke | Surgery | 3311 Riverbend Drive, Springfield, OR 97477 | 2006-03-16 |
| 1811995087 | Samuel S.m. Lau | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
| 1861490021 | Ramakota K Reddy | Internal Medicine | 3311 Riverbend Drive, Suite 300, Springfield, OR 97477-8800 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992979645 | Ruchi Thanawala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199-0001 | 2008-04-14 |
| 1669531182 | James N. Pinckley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 S. National, Suite 3400, Springfield, MO 65804 | 2006-12-08 |
| 1679531453 | Bruce Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 | 2006-05-02 |
| 1033190814 | Carl E Arentzen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 | 2005-11-09 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1134125727 | Thomas A. Schwann | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 759 Chestnut St # S4628, Springfield, MA 01107 | 2005-06-28 |
| 1871987750 | Amy Durako | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2015-03-27 |
| 1821401761 | Ipc Hospitalists of New England, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2014-06-09 |
| 1346653656 | Kevin Alexander Graham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2014-06-04 |
| 1033406491 | Siavash Saadat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 759 Chestnut St, Springfield, MA 01107-1619 | 2011-07-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.