JOHN D KOETHE


Address: 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500
Phone: 2158298420

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
033220E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0000113314605 05
BLUE CROSS/BLUE SHIELD 0000407311 01

Other Providers JOHN KOETHE

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

Office Location

Street Address 230 W WASHINGTON SQ
SUITE 100
City PHILADELPHIA
State PA
Zip Code 19106-3500

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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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19106

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Dataset Information

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.

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