DR. DOUGLAS A KOCH (NPI# 1245205947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245205947 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS A KOCH |
| Credential | MD |
| Practice Address |
6900 A St Suite 100 Lincoln NE 68510-4120 |
| Practice Telephone | 4024362000 |
| Practice Fax Number | 4024342691 |
| Mailing Telephone | 4024362000 |
| Mailing Fax Number | 4024342691 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 23034 | NE | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
23034 | NE | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
23034 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | P00246735 | 01 |
| NE | TRI CARE | 91177983268510A017 | 01 |
| NE | MIDLANDS CHOICE | 247111 | 01 |
| KS | MEDICAID | 200347450A | 01 |
| NE | BCBS OF NEBRASKA | 30014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104148519 | Douglas Richard Koch | Dentist | 10101 E Hampden Ave Ste 100, Denver, CO 80231-4905 | 2010-02-26 |
| 1528072097 | Douglas D. Koch | Dentist | 4001 Tamiami Trl N, Suite 280, Naples, FL 34103-3556 | 2006-07-28 |
| 1801840574 | Douglas James Koch | Chiropractor | 1100 Kings Hwy E, Ste 1c, Fairfield, CT 06825-5400 | 2006-05-19 |
| 1811072291 | Douglas John Koch | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
| 1881683233 | Douglas D. Koch | Ophthalmology | 6550 Fannin St, Suite 1501, Houston, TX 77030-2717 | 2005-10-18 |
| Street Address |
6900 A ST SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803931 | Geoffrey M Mccullen | Orthopaedic Surgery | 6900 A St, Lincoln, Lincoln, NE 68510-4120 | 2005-12-22 |
| 1679948590 | Lincoln Orthopedic Physical Therapy PC | Durable Medical Equipment & Medical Supplies | 6900 A St, Ste 102, Lincoln, NE 68510-4140 | 2015-12-03 |
| 1043690928 | Chance D Unger | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2015-06-04 |
| 1629472162 | Stacie N. Nieveen | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2014-10-13 |
| 1871858001 | Claire G Morris | Physical Therapist | 6900 A St, Suite 102, Lincoln, NE 68510 | 2012-07-13 |
| 1518228493 | Laura Ann Wegehaupt | Physician Assistant | 6900 A St, Lincoln Orthopaedic Center, Lincoln, NE 68510-4120 | 2012-06-06 |
| 1639407034 | John F Ayers | Physician Assistant | 6900 A St, Lincoln Orthopaedic Center, PC, Lincoln, NE 68510-4120 | 2009-11-23 |
| 1407081797 | Bruce Alan Miller | Orthopaedic Surgery | 6900 A St, Lincoln, NE 68510-4120 | 2009-05-15 |
| 1699909119 | Jason Phillip Weber | Orthopaedic Surgery | 6900 A St, Suite 100, Lincoln, NE 68510-4120 | 2009-05-12 |
| 1255591764 | Jill R Sanchez | Physical Therapist | 6900 A St, Ste 102, Lincoln, NE 68510-4120 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225060015 | Patrick T Hurlbut | Orthopaedic Surgery | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2006-07-06 |
| 1275582959 | Donald Joseph Walla | Orthopaedic Surgery | Nebraska Orthopaedic and Sports Medicine P.C., 575 S. 70th Suite 200, Lincoln, NE 68510-2471 | 2006-05-09 |
| 1629058060 | Thomas G Harbert | Orthopaedic Surgery | 8560 Foxtail Dr Ste 201, Lincoln, NE 68526-6140 | 2006-01-20 |
| 1154317899 | David J Olysav | Orthopaedic Surgery | 100 Stahlhut Dr, Lincoln, IL 62656-5059 | 2005-09-27 |
| 1114409984 | Premier Orthopaedics LLC | Orthopaedic Surgery | 8560 Foxtail Dr Ste 201, Lincoln, NE 68526-6140 | 2018-08-29 |
| 1417329491 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 6 Blackstone Valley Pl, Suite 530, Lincoln, RI 02865-1179 | 2015-10-29 |
| 1346668894 | Michael K Bokemper | Orthopaedic Surgery | 6900 A St Ste 100, Lincoln, NE 68510-4120 | 2014-04-02 |
| 1225479876 | Steven F Shannon | Orthopaedic Surgery | 2300 S 16th St, Lincoln, NE 68502 | 2013-07-11 |
| 1275820011 | Alesha Nicole Scott | Orthopaedic Surgery | 2300 S 16th St, Lincoln, NE 68502-3704 | 2011-06-30 |
| 1326337981 | Dane Todd | Orthopaedic Surgery | 575 S 70th St Ste 200, Lincoln, NE 68510-2471 | 2011-04-05 |
| Find all providers in LINCOLN | ||||
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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.