Stephen Andrew Koff, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

36-047763 Issued in OH

Practice address

555 S 18TH St
Suite 6D
Columbus, OH 43205-2654

Phone

(614) 722-3114

Fax

(614) 722-3122

NPI assigned

Oct 5, 2006

Last updated

Jan 4, 2012By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Ohio Urology, Inc.

  • Urology Physician
  • Columbus, OH
  • NPI 1003035833
  NPD (past) Authorized official
• Children's Surgical Associates, Corporation

  • Pediatric Surgery Physician
  • Columbus, OH
  • NPI 1417905324
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1376639302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDREN'S DRIVE",
            "address_2": "ED. BLDG. 3RD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-4823",
            "fax_number": "614-722-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST",
            "address_2": "SUITE 6D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-722-3114",
            "fax_number": "614-722-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFF",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "36-047763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke J Koester, AT
• Irene Koesters, M.D.
• Kelly Koesters
• Stephen C Koesters, MD
• Adelaide Wilma Koestner, M.D.
• Elizabeth Nabil Koffler, MD
• Andrea W. Koflowitch, APRN-CNP
• Amy Kogon, MD
• Tristan Leigh Kohanov, DO
• Alexander Kohar

• Pediatric Urology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.