Active NPI
Joseph Koch, M.D., PLLC
- Family Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOSEPH KOCH, M.D., PLLC
- Practice address
- 1224 S John Redditt Dr
Lufkin, TX 75904-4377 - Phone
- (936) 639-4393
- Fax
- (877) 916-5022
- NPI assigned
- Apr 3, 2012
- 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
- Joseph Alan Koch, MD
- Title
- President
- Phone
- (936) 639-4393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1224 S John Redditt Dr
Lufkin, TX 75904-4377
Mailing address
1224 S John Redditt Dr
Lufkin, TX 75904-4377
Phone (936) 639-4393
Other names 1
- Tall Pines Family Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120917000396 | TX | Part B Supplier - Clinic/Group Practice | 0648428615 |
Receives reassigned benefits from 5 practitioners Practice locations: Lufkin, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2039354 | Tall Pines Family Clinic | Provider-performed microscopy | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
10 Medical Center Blvd
Ste C
Lufkin, TX 75904
Phone (936) 639-4393
1201 W Frank Ave
#D
Lufkin, TX 75904
Phone (936) 639-4393
201 S John Redditt Dr
Lufkin, TX 75904
Phone (936) 632-3346
1224 S John Redditt Dr
Lufkin, TX 75904
Phone (512) 588-6011
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Lufkin, TX
- NPI 1417119603
-
- Psychiatry Physician
- Burnet, TX
- NPI 1043471360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1255697306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 S JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759044377",
"telephone_number": "936-639-4393",
"fax_number": "877-916-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 S JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759044377",
"telephone_number": "936-639-4393",
"fax_number": "877-916-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH KOCH, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-03",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-639-4393",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tall Pines Family Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tall Pines Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.