BRIAN A. KOCH (NPI# 1881652063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881652063 |
| Entity Type | Individual |
| Full Name | BRIAN A. KOCH |
| Credential | MD |
| Practice Address |
1100 Las Tablas Rd Templeton CA 93465-9704 |
| Mailing Address |
Po Box 87 Templeton CA 93465-0087 |
| Practice Telephone | 8054353500 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A73827 | CA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A73827 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | 930128627 | 01 |
| CA | 00A738270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767800 | Brian D Koch | Dentist | 315 S Monroe Ave, Green Bay, WI 54301-4013 | 2007-01-18 |
| 1609432905 | Brian Matthew Koch | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-05-13 |
| 1972998417 | Brian Koch | Emergency Medicine | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2015-04-01 |
| 1730516006 | Brian Koch | Counselor | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2013-10-02 |
| 1184895476 | Brian Michael Koch | Pain Medicine | 1111 Medical Center Blvd, Suite S750, Marrero, LA 70072-3151 | 2008-03-14 |
| 1881641934 | Brian D Koch | Dentist | 11400 Se 37th Ave, Milwaukie, OR 97222-5982 | 2006-05-27 |
| 1255324281 | Brian Edward Koch | Orthopaedic Surgery | 353 New Shackle Island Rd, Building C, Ste. 148, Hendersonville, TN 37075-2379 | 2005-08-24 |
| Street Address |
1100 LAS TABLAS RD |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738348 | Diane K. Noyes | Internal Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2005-11-23 |
| 1568953560 | Brenna Shatswell | Nurse Practitioner | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2018-05-24 |
| 1851815518 | Linda Robinson | Clinical Pharmacology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2017-08-02 |
| 1407219033 | Emilia Wobga-pasiah | Family Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2016-03-31 |
| 1558735340 | Sandra Rowell-connors | Registered Nurse | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2015-11-17 |
| 1013257567 | Affiliated Pathologists of The Central Coast | Pathology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2013-02-20 |
| 1295082857 | Dhp of Twin Cities Medical Group Inc | Hospitalist | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2012-08-13 |
| 1346546363 | Hospitalist Medicine Physicians of San Luis Obispo County, Inc | Internal Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2011-02-09 |
| 1497055800 | Robert P Imbernino, Md, Inc | Anesthesiology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2010-11-01 |
| 1396063079 | Central Coast Radiology Medical Group Inc | Radiology | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2010-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861450348 | Gary M Lucchesi | Emergency Medicine | 105 S Main St Ste 4, Templeton, CA 93465-9601 | 2006-05-03 |
| 1144494642 | Raul Benjamin Easton-carr | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2008-04-15 |
| 1912103284 | Dugald Chisholm IIi | Emergency Medicine | 105 S Main St, Ste 4, Templeton, CA 93465-9601 | 2007-06-25 |
| 1679632178 | Robert James Latta | Emergency Medicine | 350 Posada Ln, Suite 102, Templeton, CA 93465-4059 | 2006-12-08 |
| 1154480648 | Reynaldo M. Cordero, M.d, Inc. | Emergency Medicine | 350 Posada Ln, Suite 102, Templeton, CA 93465-4059 | 2006-12-08 |
| 1588732259 | Reynaldo Madrid Cordero | Emergency Medicine | 350 Posada Ln, Ste. 102, Templeton, CA 93465-4059 | 2006-12-01 |
| 1073561684 | George P. Lum | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1639127376 | William E Buys | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1659329233 | Gregory John Robertson | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1720036304 | Jason M Redd | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
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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.