Sandra Jean Koch, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G3528 Issued in TX

Practice address

233 Valleyview Dr
Lawton, OK 73507-8136

Phone

(580) 529-2355

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1144258666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 VALLEYVIEW DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735078136",
            "telephone_number": "580-529-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 VALLEYVIEW DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735078136",
            "telephone_number": "580-529-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callison Faith Klein, COTA/L
• William Bret Kline, PT
• Kosheka Knight, MHR
• Misti Knight, PRSS
• Lacey Knox
• Scott M Kochenower, D.P.M.
• Waylon Gene Koehler, PTA
• Janice Koon
• Roberta Jo Koon, B.A., B.H.R.S.
• Chelsey S Kopaddy

• Physical Medicine & Rehabilitation Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.