PAUL DAVID KOCH (NPI# 1649346073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649346073 |
Entity Type | Individual |
Full Name | PAUL DAVID KOCH |
Credential | M.D. |
Practice Address |
835 S Van Buren St Green Bay WI 54301-3526 |
Mailing Address |
5374 Moonlite Dr De Pere WI 54115-8794 |
Practice Telephone | 9205933938 |
Practice Fax Number | 9208843271 |
Mailing Telephone | 9209830116 |
Mailing Fax Number | 9208843271 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
20415-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30980400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336177286 | Paul Erik Koch | Chiropractor | 259 Fish Pond Rd, Ste. 8, Sewell, NJ 08080-3046 | 2006-06-29 |
1124060041 | Paul Erwin Koch | Optometrist | 476999 Highway 95, Ponderay, ID 83852-9738 | 2006-06-12 |
1699094375 | Paul Frederick Koch | Neurological Surgery | 417 N 11th St, Richmond, VA 23298 | 2010-05-20 |
1306953849 | Paul E Koch | Family Medicine | 1121 E North Ave, Columbia-st Marys Family Medicine Clinic, Milwaukee, WI 53212-3515 | 2006-08-23 |
1538125414 | Paul S Koch | Ophthalmology | 566 Toll Gate Rd, Warwick, RI 02886-2716 | 2006-04-21 |
1487623286 | Paul W. Koch | Emergency Medicine | 159 Kercheval Ave., Grosse Pointe, MI 48236 | 2006-03-15 |
Street Address |
835 S VAN BUREN ST |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093707689 | Louis A Suarez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2005-08-18 |
1114526530 | Keisha Vickman | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-10-19 |
1902416480 | Tyler William Shimek | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-08-09 |
1770100489 | Fuad Emile Zankoul | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-06-29 |
1942822473 | Brittany Elizabeth Pitsch | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
1669093175 | Lacey Renee Anderson | Student in an Organized Health Care Education/Training Program | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
1891320834 | Tarra Lynn Moran | Hospitalist | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-10 |
1780219238 | Shea A Sternhagen | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-03-05 |
1508490780 | Christopher Michael Robinson | Anesthesiology | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-02-26 |
1083250872 | Brandyn Robert Behnke | Registered Nurse | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2019-11-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
Find all providers in zip 54301 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063730042 | Bradley C Heraly | Internal Medicine | 1726 Shawano Avenue, Green Bay Oncology, Green Bay, WI 54303 | 2010-05-14 |
1184004236 | St. Vincent Hospital-hospital Sisters-third Order of St. Francis | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2015-06-04 |
1225335482 | Nirav D Patel | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2011-02-23 |
1003129958 | Amritha Chandrahasa Karkera | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311 | 2010-07-21 |
1538321252 | Maria D De Villa | Internal Medicine | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2008-06-25 |
1093987703 | Ubaid Nawaz | Internal Medicine | 2845 Greenbrier Rd, Vlcc, Green Bay, WI 54311-6519 | 2008-04-02 |
1750475851 | Michael J Volk | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
1467546507 | Anthony J Jaslowski | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
1730273889 | Jules H Blank | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-10-03 |
1649214941 | Green Bay Oncology, Ltd | Internal Medicine | 1726 Shawano Ave, Green Bay, WI 54303 | 2006-06-16 |
Find all providers in GREEN BAY |
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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.