Max W Koch

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0055752 Issued in TX

Legal business name

MAX W KOCH

Practice address

400 Industrial Blvd
Ste 108
Mansfield, TX 76063-2202

Phone

(817) 453-2800

Fax

(210) 568-2682

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Max William Koch III, CPED CFONPI 1649452707

Title

Owner

Phone

(817) 909-6293

Specialties & licenses 1

Addresses

Other names 1

• MED LINK METRO Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max W Koch

  • Orthotic Fitter
  • Mansfield, TX
  • NPI 1649452707
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1093751687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BISCAYNE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633235",
            "telephone_number": "817-453-2800",
            "fax_number": "210-568-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDUSTRIAL BLVD",
            "address_2": "STE 108",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632202",
            "telephone_number": "817-453-2800",
            "fax_number": "210-568-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX W KOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-909-6293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPED    CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0055752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED LINK METRO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne Mathis, M.ED., CSC, LPC-A
• Matlock Dentistry, PA
• Ashley Matthews
• Michael Mattingly, M.D.
• Coleen Chitanda Mawoyo, RN
• Kimberly Michelle May, PTA
• Danielle Mayberry
• Jennifer Mayne-Farah, APRN, FNP-C
• Julie Michelle Mayo, PAC
• Jacqueline I Mbaabe

• Durable Medical Equipment & Medical Supplies in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.