K and L Medical, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

K AND L MEDICAL, LLC

Doing business as

Koth Orthopedics and Spine

Practice address

12866 Troxler Ave
Highland, IL 62249-2806

Phone

(618) 900-1070

Fax

(833) 992-2437

NPI assigned

Oct 22, 2020

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Koth, D.O.NPI 1972798049

Title

Ceo

Phone

(330) 442-5815

Specialties & licenses 1

Addresses

Other names 1

• Koth Orthopedics and Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin G. Koth, D.O.

  • Orthopaedic Surgery Physician
  • Highland, IL
  • NPI 1972798049
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Cresswell Clay

  • Family Nurse Practitioner
  • Highland, IL
  • NPI 1700475795
  Medicare reassignment Care Compare group NPD
• Rachel Benjamin, APRN

  • Family Nurse Practitioner
  • Salem, IL
  • NPI 1114591880
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1013516897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622940160",
            "telephone_number": "618-900-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 TROXLER AVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492806",
            "telephone_number": "618-900-1070",
            "fax_number": "833-992-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND L MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "KOTH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-442-5815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koth Orthopedics and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Medical Group LTD
• Integrated Medical Group, LTD
• Abigail K Johnson
• Ceara Blair Jolliff, LCSW
• Lauren Nicole Jurczak, OTR/L
• Peter S. Kim, M.D.
• John William Kleinhoffer, OD
• Brian Klostermann, MD
• Erica Sue Kniepkamp
• Mallory Korte, PT

• Orthopaedic Surgery Physician in Highland, IL
• Providers in Highland, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.