Phoebe CHI Yie Koh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57.253178 Issued in OH

Practice address

2859 Aaronwood Ave NE
Massillon, OH 44646-2390

Phone

(330) 832-2280

Fax

(330) 832-4732

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876

  Family Medicine

  Medicare reassignment Care Compare group NPD (past)
• Family Medicine Health & Wellness Center, Inc

  • Family Medicine Physician
  • Massillon, OH
  • NPI 1265459259
  NPD (past)

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184368607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 AARONWOOD AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462390",
            "telephone_number": "330-832-2280",
            "fax_number": "330-832-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 AARONWOOD AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462390",
            "telephone_number": "330-832-2280",
            "fax_number": "330-832-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "PHOEBE CHI YIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.253178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Knetzer
• Knott Your Average Community Care LLC
• Jay M Koceski, RPH
• Karen A Koenig, PRS
• Warren H Kofol, MD
• Joshua James Kohl, LPN
• Brandy Kolek
• Sarah Elizabeth Koncz
• Ashley Korosa, CNP
• Dorothea Ann Kostolich, RN

• Family Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.