TARA ANN KOCH (NPI# 1497908487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497908487 |
| Entity Type | Individual |
| Full Name | TARA ANN KOCH |
| Credential | P.A. |
| Practice Address |
800 Woodbury Rd Woodbury NY 11797-2503 |
| Mailing Address |
16 Harding St Smithtown NY 11787-5523 |
| Practice Telephone | 5164969400 |
| Practice Fax Number | 5164969212 |
| Mailing Telephone | 9177103397 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 012983 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659600468 | Tara Ellen Koch | Registered Nurse | 505 Broadway St, Baraboo, WI 53913-2183 | 2009-12-08 |
| Street Address |
800 WOODBURY RD |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534034 | Phoebe Ann Kessler | Social Worker | 800 Woodbury Rd, Woodbury, NY 11797-2503 | 2005-08-02 |
| 1598250631 | Alexis Rae Gertler | Dentist | 800 Woodbury Rd, Woodbury, NY 11797 | 2018-06-29 |
| 1679937387 | Woobury Pediatric Dentistry and Orthodontics | Dentist | 800 Woodbury Rd, Suite E, Woodbury, NY 11797-2503 | 2016-04-08 |
| 1477915163 | Richard D. Abrash Md PC | Clinic/Center | 800 Woodbury Rd, Suite I, Woodbury, NY 11797-2503 | 2016-03-22 |
| 1568820710 | Lisa Ritter-kahn | Dentist | 800 Woodbury Rd, E, Woodbury, NY 11797-2503 | 2016-02-03 |
| 1063886208 | Celia Spatt | Dentist | 800 Woodbury Rd, Woodbury, NY 11797-2503 | 2015-11-28 |
| 1922485937 | Douglas Schildhaus | Dentist | 800 Woodbury Rd, Woodbury, NY 11797-2503 | 2015-04-28 |
| 1386037760 | Kenneth Rubenstein | Dentist | 800 Woodbury Rd, Suite J, Woodbury, NY 11797-2503 | 2015-03-10 |
| 1326456898 | Daniel Francis Coyle | Dentist | 800 Woodbury Rd, Suite B, Woodbury, NY 11797 | 2014-07-29 |
| 1871901348 | Peter Leon Akl | Dentist | 800 Woodbury Rd, Suite B, Woodbury, NY 11797 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587583 | Amy Marie Lyttle | Physician Assistant | 570 Settlers Ridge Pkwy Unit A305, Woodbury, MN 55129-7509 | 2020-04-20 |
| 1104338730 | Elissa Fung | Physician Assistant | 779 Bielenberg Dr Ste 108, Woodbury, MN 55125-4432 | 2017-11-05 |
| 1417253212 | Sara Lynn Sterling | Physician Assistant | 217 Radio Dr, Woodbury, MN 55125-5805 | 2011-01-27 |
| 1639486434 | Ariana Zaza | Physician Assistant | 1 2nd St, Woodbury, NY 11797-1310 | 2010-09-01 |
| 1508047127 | Anna E. Ng | Physician Assistant | 17 W Red Bank Ave Ste 205, Woodbury, NJ 08096-1630 | 2007-11-26 |
| 1033399886 | Kristen D Ballenthin | Physician Assistant | 449 Commerce Drive, Woodbury, MN 55125-4872 | 2007-11-09 |
| 1104852094 | Kaitlin Buckner | Physician Assistant | 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033 | 2006-06-23 |
| 1972540573 | Susan A Murray | Physician Assistant | 1687 Woodlane Dr Ste 103, Woodbury, MN 55125-3046 | 2006-06-01 |
| 1518911247 | Deborah Lee Hinkle | Physician Assistant | Stones River Hospital, 324 Doolittle Road, Woodbury, TN 37190-5041 | 2006-05-19 |
| 1013986611 | Jennifer Susan Ellis | Physician Assistant | 4040 Radio Dr, Woodbury, MN 55129-3237 | 2006-03-16 |
| Find all providers in WOODBURY | ||||
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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.