Active NPI
Alison Koehler, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Mooresville, NC
National Provider Identifier
1043432701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2005-01947
- Practice address
- 171 Fairview Rd
Mooresville, NC 28117-9500 - Phone
- (704) 660-4512
- NPI assigned
- May 3, 2007
- Last updated
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2005-01947 | NC | Primary |
Addresses
Primary practice location
171 Fairview Rd
Mooresville, NC 28117-9500
Mailing address
171 Fairview Rd
Mooresville, NC 28117-9500
Phone (864) 223-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01947 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L a Lorenzo MD Pathology Consult Services P a | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Academic Pathology Associates Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Mooresville, NC
- NPI 1144283888
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1417994880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1043432701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 FAIRVIEW RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179500",
"telephone_number": "864-223-3070",
"fax_number": "864-223-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 FAIRVIEW RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179500",
"telephone_number": "704-660-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "ALISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "2005-01947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.