Colton A. Koch

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

NONE Issued in NU

Practice address

17550 K16 Hwy
McLouth, KS 66054

Phone

(913) 689-9650

NPI assigned

Nov 27, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1033689666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17550 K16 HWY",
            "city": "MCLOUTH",
            "state": "KS",
            "postal_code": "66054",
            "telephone_number": "913-689-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 K16 HWY",
            "city": "MCLOUTH",
            "state": "KS",
            "postal_code": "66054",
            "telephone_number": "913-689-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "COLTON",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF KANSAS",
            "identifier": "XSB874710819",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Leigh Carleton
• Genesis Danielle Claypool
• Danielle Lee Hermann
• Nancy Ann Hermreck, MSW, LSCSW, ACSW
• Dana Dayle Jessup, LSCSW
• Lawrence Memorial Hospital (McLouth Medical Clinic)
• Lawrence Physicians LLC (LMH Health Primary Care - McLouth)
• McLouth Medical Clinic
• McLouth Usd342
• Carrie Lynn Miller, PSY.D.

• Athletic Trainer in McLouth, KS
• Providers in McLouth, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.