Active NPI
Robert Koe M.D, P.a
- Internal Medicine Physician
- Orange Park, FL
National Provider Identifier
1083993026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME39855
- Legal business name
- ROBERT KOE M.D, P.A
- Practice address
- 1543 Kingsley Ave Ste 12
Orange Park, FL 32073-4544 - Phone
- (904) 269-9777
- Fax
- (904) 264-9774
- NPI assigned
- Aug 9, 2011
- Last updated
- Aug 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Koe, M.D
- Title
- Doctor
- Phone
- (904) 269-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME39855 | FL | Primary |
Addresses
Primary practice location
1543 Kingsley Ave Ste 12
Orange Park, FL 32073-4544
Mailing address
1543 Kingsley Ave Ste 12
Orange Park, FL 32073-4544
Phone (904) 269-9777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1609091081
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1962626085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1083993026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 12",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734544",
"telephone_number": "904-269-9777",
"fax_number": "904-264-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 12",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734544",
"telephone_number": "904-269-9777",
"fax_number": "904-264-9774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT KOE M.D, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "KOE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "904-269-9777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME39855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.