JOHN D KOETHE (NPI# 1194724773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194724773 |
| Entity Type | Individual |
| Full Name | JOHN D KOETHE |
| Credential | MD |
| Practice Address |
230 W Washington Sq Suite 100 Philadelphia PA 19106-3500 |
| Practice Telephone | 2158298420 |
| Practice Fax Number | 2158298418 |
| Mailing Telephone | 2158298420 |
| Mailing Fax Number | 2158298418 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
033220E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0000113314605 | 05 | |
| BLUE CROSS/BLUE SHIELD | 0000407311 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831235845 | John Robert Koethe | Internal Medicine | Division of Infectious Diseases Vumc, 1161 21st Avenue South, A2200-mcn, Nashville, TN 37232-2582 | 2007-01-29 |
| Street Address |
230 W WASHINGTON SQ SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814807 | Kwabena Adu Ntoso | Internal Medicine | 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 | 2005-07-14 |
| 1003434697 | Melissa Heller | Counselor | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2020-07-09 |
| 1366085672 | Allison Danielle Hart | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-10-21 |
| 1932754397 | Joseph Marino Gigliotti | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-08-02 |
| 1912461047 | Marianne Louie Englander | Nurse Practitioner | 230 W Washington Sq, 2nd Fl, Philadelphia, PA 19106-3500 | 2019-01-23 |
| 1881173136 | Kendra Lee | Nurse Practitioner | 230 W Washington Sq, Fl 3, Philadelphia, PA 19106-3500 | 2018-08-08 |
| 1255847976 | Samantha Pluy | Nurse Practitioner | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-12-18 |
| 1841711355 | Taylor Jane Apostolico | Genetic Counselor, MS | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-07-06 |
| 1609315084 | Alyssa Ellen Guerrero | Physician Assistant | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2017-02-17 |
| 1215472378 | Jjl&w Inc. T/a Komfort & Kare | Durable Medical Equipment & Medical Supplies | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2016-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 1497068613 | Anupama Nair | Internal Medicine | 1324 Locust St, Apt 205 The Arts Condominium, Philadelphia, PA 19107 | 2010-07-16 |
| 1972739621 | Mortimer M Civan | Internal Medicine | A303 Richards Building, 3700 Hamilton Walk, Dept. of Physiology, Univ. of Pennsylvania, Philadelphia, PA 19104-6085 | 2009-06-09 |
| 1790795391 | Arthur Robert Olshan | Internal Medicine | 205 N Broad St Ste 600, Philadelphia, PA 19107-1555 | 2006-08-08 |
| 1407817745 | Theodora K. Bernardini | Internal Medicine | 4453 Castor Ave, Suite B, Philadelphia, PA 19124-3846 | 2006-03-28 |
| 1902874670 | Eric J Bloom | Internal Medicine | 5501 Old York Road, Moss 4th Floor, Sley Building, Einstein Nephrology Associates, Philadelphia, PA 19141 | 2006-03-09 |
| 1821071473 | Edward R. Jones | Internal Medicine | 10 E Moreland Ave, Suite 100, Philadelphia, PA 19118-3541 | 2005-11-28 |
| 1366425092 | Peter Fumo | Internal Medicine | 10 E Moreland Ave Ste 100, Philadelphia, PA 19118-3562 | 2005-11-28 |
| 1790773547 | Ellie Kelepouris | Internal Medicine | 216 N. Broad St., 5th Floor, Philadelphia, PA 19102 | 2005-10-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.