MICHAEL PETER KOELSCH (NPI# 1952482440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952482440 |
| Entity Type | Individual |
| Full Name | MICHAEL PETER KOELSCH |
| Credential | M.D. |
| Practice Address |
805 North 6th East Mountain Home ID 83647 |
| Mailing Address |
805 N 6th East St. Mountain Home ID 83647 |
| Practice Telephone | 2085875880 |
| Practice Fax Number | 2085877905 |
| Mailing Telephone | 2085875880 |
| Mailing Fax Number | 2085877905 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M3819 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010001549 | 01 |
| ID | BLUE CROSS | 57521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336297 | Michael G Koelsch | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Corwin Lane, Kokomo, IN 46902-6612 | 2006-07-12 |
| Street Address |
805 NORTH 6TH EAST |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| 1295728897 | Scott Alan Baldridge | Family Medicine | 365 Mckenna Dr, Mountain Home, ID 83647 | 2005-08-30 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924047 | Barbara Tan King Overbay | Internal Medicine | Vamc 11-pc, Primary Care Clinic, Mountain Home, TN 37684 | 2008-02-28 |
| 1689898843 | Grant Mathews | Internal Medicine | 555 West 6th St, Mountain Home, AR 72653-3207 | 2007-04-12 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1073600011 | William Dralle | Internal Medicine | Corner of Lamont and Sidney Streets, Mountain Home, TN 37684 | 2006-10-10 |
| 1821009473 | Carol Procter | Internal Medicine | Corner of Lamont and Sidney, Mountain Home, TN 37684 | 2006-08-10 |
| 1407888571 | Jonathan Lee Pollitte | Internal Medicine | James H Quillen Veterans Affairs Medical Center, Sydney and Lamont Street, Mountain Home, TN 37684 | 2006-07-07 |
| 1760429740 | Paul Thomas Provance | Internal Medicine | James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2006-05-31 |
| 1013961994 | James C Croom | Internal Medicine | 230 Highway 5 N Ste 20, Mountain Home, AR 72653-3031 | 2006-05-22 |
| 1649236290 | Lance R Lincoln | Internal Medicine | 405 Buttercup Dr, Mountain Home, AR 72653-2910 | 2006-04-24 |
| 1295790780 | Gary Edward Bush | Internal Medicine | Va Medical Center, Mountain Home, Sidney and Lamont St, Mountain Home, TN 37684 | 2006-04-19 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
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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.