DR. JERRY I. KOCH (NPI# 1376749564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376749564 |
| Entity Type | Individual |
| Full Name | DR. JERRY I. KOCH |
| Credential | DC |
| Practice Address |
12446 West Ave Ste 100 San Antonio TX 78216-2517 |
| Mailing Address |
13400 Blanco Rd Apt 202 San Antonio TX 78216-2179 |
| Practice Telephone | 2105259900 |
| Practice Fax Number | 2105259908 |
| Mailing Telephone | 2105259900 |
| Mailing Fax Number | 2105259908 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
4468 | TX | Chiropractic Providers |
| Street Address |
12446 WEST AVE STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431415 | Samuel R Neeley | Neuromusculoskeletal Medicine & OMM | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2005-07-19 |
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1568824209 | James B Ellis Mdpa | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-03-22 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1548668411 | Neurology Associates of San Antonio Pllc | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2014-12-09 |
| 1235360009 | Christina Ann Keane | Specialist/Technologist, Other | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2009-07-28 |
| 1508061482 | Rose Medical Group, P.a. | Anesthesiology | 12446 West Ave, Suite 100, San Antonio, TX 78216-2517 | 2007-06-19 |
| 1649391632 | Samuel R Neeley Md Pa | Clinic/Center | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2007-04-03 |
| 1801869268 | James Brant Ellis | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996336 | Affordable Chiropractic, LLC | Chiropractor | 1138 Belt Line Rd Ste 135, Garland, TX 75040-1993 | 2020-09-10 |
| 1760093231 | Sang Hoon Lee | Chiropractor | 14651 Philippine St Apt 3103, Houston, TX 77040-6969 | 2020-08-10 |
| 1306462023 | Santa A Rosado | Chiropractor | 6112 Comfort Dr, Fort Worth, TX 76132-5009 | 2020-06-18 |
| 1124658976 | Kelsie Ann Miller | Chiropractor | 411 Harrold St Apt 1152, Fort Worth, TX 76107-3000 | 2020-01-21 |
| 1861022949 | Constance Mae Smith | Chiropractor | 1700 E Palm Valley Blvd Ste 400, Round Rock, TX 78664-4680 | 2020-01-17 |
| 1891337853 | Ellen Christy Vega | Chiropractor | 3295 S Cooper St Ste 127, Arlington, TX 76015-2359 | 2019-10-11 |
| 1295394625 | Nh Chiropractic Pain Management and Rehabilitation | Chiropractor | 1003 Legacy Ranch Rd, Suite 206, Waxahachie, TX 75165-1294 | 2019-06-10 |
| 1124548474 | Lone Star Exams | Chiropractor | 2514 E Cedar Bayou Lynchburg, Baytown, TX 77521-8401 | 2017-06-27 |
| 1568902625 | Philip Lening | Chiropractor | 7627 Rainbow Bend Dr, Pasadena, TX 77505-3897 | 2017-03-08 |
| 1003367731 | Tamikia Latray Prunty | Chiropractor | 8823 Valley Ranch Pkwy E, Apt 131, Irving, TX 75063-4802 | 2016-10-18 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.