DR. HEIDI MARIE KOCH (NPI# 1588635379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588635379 |
| Entity Type | Individual |
| Full Name | DR. HEIDI MARIE KOCH |
| Credential | M.D. |
| Practice Address |
2301 Beaver Ave Des Moines IA 50310-3903 |
| Practice Telephone | 5152553181 |
| Practice Fax Number | 5152559392 |
| Mailing Telephone | 5152553181 |
| Mailing Fax Number | 5152559392 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 33003 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS-WEST | 47499 | 01 |
| IA | BCBS-EAST | 26258 | 01 |
| IA | 1191155 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386019875 | Heidi Koch | Occupational Therapy Assistant | 400 29th St Ne, Puyallup, WA 98372 | 2015-12-09 |
| 1528234945 | Heidi Koch | Counselor | 125 S 5th St, Reading, PA 19602-1662 | 2008-05-06 |
| Street Address |
2301 BEAVER AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093786345 | Kenneth Wlson Talcott | Pediatrics | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-01-26 |
| 1760037782 | Sarah Barnhart | Pediatrics | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2019-08-06 |
| 1235796475 | Lauren Ropp | Nurse Practitioner | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2019-05-23 |
| 1194991109 | Des Moines Pediatric & Adolescent Clinic | Nurse Practitioner | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2008-04-30 |
| 1972578722 | Sally Twedt | Nurse Practitioner | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-02-22 |
| 1275508020 | Sherri Chrisman-batterson | Nurse Practitioner | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-02-22 |
| 1902877707 | Robert Adam Fornoff | Pediatrics | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176305 | Jorie Muraida | Pediatrics | 1200 Pleasant St # 566, Des Moines, IA 50309-1453 | 2018-05-30 |
| 1689952111 | Julius Stanley Conner I | Pediatrics | 801 School Street, Corinthian Free Clinic, Des Moines, IA 50309-1207 | 2011-08-02 |
| 1730477407 | Salim Hommeida | Pediatrics | 1215 Pleasant St Ste 600, Des Moines, IA 50309-1409 | 2011-07-15 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1306005152 | Melodee Sue Woodard | Pediatrics | 535 Sw 7th St, Des Moines, IA 50309-4535 | 2008-06-06 |
| 1891952552 | Nicholas John Fustino | Pediatrics | 1215 Pleasant St Ste 514, Des Moines, IA 50309-1418 | 2008-05-20 |
| 1265609234 | Asit Kumar Tripathy | Pediatrics | 1215 Pleasant St., Ste. 116, Des Moines, IA 50309-1453 | 2008-05-09 |
| 1639225311 | Amy E. Shriver | Pediatrics | 1212 Pleasant St., Suite 300, Des Moines, IA 50309-1453 | 2007-01-26 |
| 1093786345 | Kenneth Wlson Talcott | Pediatrics | 2301 Beaver Ave, Des Moines, IA 50310-3903 | 2006-01-26 |
| 1407836513 | Nathan Ross Noble | Pediatrics | 1200 Pleasant St., Des Moines, IA 50309-1453 | 2006-01-17 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
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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.