Gregory M Kloch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17505 Issued in NE

Practice address

1103 Buffalo BND
Lexington, NE 68850-1528

Phone

(308) 324-6386

Fax

(308) 324-6913

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: gregkloch@pcmg.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plum Creek Medical Group, P.C.

  • Family Medicine Physician
  • Lexington, NE
  • NPI 1104868496
  Medicare reassignment

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1285675637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "address_2": "PO BOX 797",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386",
            "fax_number": "308-324-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCH",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47058329013",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0659310001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Junker, MS, CCC-SLP
• Hodan Muqtar Kamil
• Kismet LXN, LLC.
• Kyle F Klammer, M.D.
• Kloch Counseling
• Susan Kloch, LICSW, LADC
• Penelope M Knapp, PLMHP, PLADC
• Sally M Knudsen, PLMHP
• Kira Koch-Larsen, LMHP
• Kayli Jo Konrad-Sauer

• Family Medicine Physician in Lexington, NE
• Providers in Lexington, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.