KATHERINE KOSHOFER (NPI# 1720209935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720209935 |
| Entity Type | Individual |
| Full Name | KATHERINE KOSHOFER |
| Credential | PA-C |
| Practice Address |
1041 Balch Rd Madison AL 35758 |
| Mailing Address |
130 Wellington Dr Madison AL 35758-8153 |
| Practice Telephone | 2563251540 |
| Practice Fax Number | 2567749040 |
| Mailing Telephone | 6623127422 |
| Mailing Fax Number | 2567749040 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1307 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5017 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 412755469A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1041 Balch Rd, Ste 300, Madison, AL 35758 | 2563251540 | 2567749040 |
| 525 Forest Pkwy, Suite 100, Forest Park, GA 302972149 | 6787050100 | 4043639349 |
| Street Address |
1041 BALCH RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634083 | Patricia Barbara Gurczak | Internal Medicine | 1041 Balch Rd, Suite 350, Madison, AL 35758-8343 | 2006-01-25 |
| 1699210351 | Sarah Bible | Nurse Practitioner | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2017-01-04 |
| 1396292041 | Integrity Family Care North Alabama LLC | Internal Medicine | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2016-09-09 |
| 1346608080 | Ronald Dean Wilkins | Registered Nurse | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2016-02-09 |
| 1003207796 | Precious Smiles Family Dentistry LLC | Dentist | 1041 Balch Rd, Suite 100, Madison, AL 35758-8343 | 2015-02-17 |
| 1902297690 | Aesthetic and Reconstructive Dentistry, LLC | Dental Laboratory | 1041 Balch Rd, Suite 180, Madison, AL 35758-8343 | 2015-02-17 |
| 1962835553 | Cramin Peter Wiltz II | Dentist | 1041 Balch Rd, Suite 180, Madison, AL 35758-8343 | 2013-08-19 |
| 1548588387 | Caroline Schreeder | Surgery | 1041 Balch Rd, Suite 350, Madison, AL 35758-8343 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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 |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.