MRS. ANITA R. KOCH (NPI# 1316190556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316190556 |
| Entity Type | Individual |
| Full Name | MRS. ANITA R. KOCH |
| Credential | RN CNS |
| Practice Address |
7067 Tiffany Blvd Suite 230 Poland OH 44514-1993 |
| Mailing Address |
4135 Boardman Canfield Rd Suite 101 Canfield OH 44406-9803 |
| Practice Telephone | 3307582748 |
| Practice Fax Number | 3307583282 |
| Mailing Telephone | 3302865330 |
| Mailing Fax Number | 3302865396 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2017-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN. 226436 | OH | Nursing Service Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
NS09826 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BSBS | 000000955776 | 01 |
| OH | 2916518 | 05 | |
| OH | MEDICARE PTAN | H155462 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043511 | Anita Koch | Massage Therapist | 1000 Union St Apt 316, Seattle, WA 98101-1948 | 2014-08-13 |
| Street Address |
7067 TIFFANY BLVD SUITE 230 |
| City | POLAND |
| State | OH |
| Zip Code | 44514-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952581480 | Youngstown Spine & Disc Institute, Inc. | Chiropractor | 7067 Tiffany Blvd, Suite 280, Poland, OH 44514-1993 | 2007-11-13 |
| 1669661880 | Babitha Nalluri Md Ltd | Obstetrics & Gynecology | 7067 Tiffany Blvd, Suite 220, Poland, OH 44514-1993 | 2007-10-24 |
| 1790907244 | Accord Home Services, LLC | Home Health | 7067 Tiffany Blvd, Ste 270, Poland, OH 44514 | 2007-05-03 |
| 1952394280 | Ronald Joseph Ruscitti | Chiropractor | 7067 Tiffany Blvd, Ste 280, Poland, OH 44514-1803 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750706305 | Patricia Ratliff | Clinical Nurse Specialist | 3304 Stones Throw Ave, Poland, OH 44514-4204 | 2014-02-19 |
| 1285978460 | Frances Ann Clark | Clinical Nurse Specialist | 3304 Stones Throw Ave, Poland, OH 44514-4204 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243941 | Christina Canfield | Clinical Nurse Specialist | 9500 Euclid Ave # J6, Cleveland, OH 44195-0001 | 2020-04-13 |
| 1073040929 | Stacy L Burns | Clinical Nurse Specialist | 250 S Osborn Ave, Youngstown, OH 44509-2909 | 2017-05-22 |
| 1134655350 | Bindhu Sajay | Clinical Nurse Specialist | 45431 Isaac Dr, Beavercreek, OH 45431-3051 | 2017-05-08 |
| 1750828406 | Keith B Evans | Clinical Nurse Specialist | 12 Lincoln Dr, Shelby, OH 44875-1482 | 2017-01-19 |
| 1760839070 | Deanna Petsas | Clinical Nurse Specialist | 35157 Poplar St, North Ridgeville, OH 44039-1549 | 2016-05-17 |
| 1083087852 | Tracy A. Riley | Clinical Nurse Specialist | 2270 Mohler Dr Nw, North Canton, OH 44720-5736 | 2015-11-03 |
| 1639542574 | Althea Premraj | Clinical Nurse Specialist | 26 Keswick Dr, Hudson, OH 44236-3338 | 2015-10-31 |
| 1013392646 | Lydia Booher | Clinical Nurse Specialist | 2320 12th St Sw, Akron, OH 44314-2058 | 2015-07-24 |
| 1265813984 | Ronald Rock | Clinical Nurse Specialist | 9500 Euclid Ave # M2-105, Cleveland, OH 44195-0001 | 2015-06-18 |
| 1518387257 | Beth Canfield | Clinical Nurse Specialist | 6721 Idlelawn Ave Nw, Canal Fulton, OH 44614-9420 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.