Active NPI
Angela Ko, MD PLLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1396315826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ANGELA KO, MD PLLC
- Practice address
- 7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336 - Phone
- (734) 945-5322
- Fax
- (602) 277-8146
- NPI assigned
- Jun 28, 2021
- Last updated
- Jul 7, 2021
- 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
- Vanessa Koziol
- Title
- Credentialing Specialist
- Phone
- (480) 376-6456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336
Mailing address
8989 N Gainey Center Dr Unit 145
Scottsdale, AZ 85258-2114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@eamedbill.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1366640906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625616000000",
"number": "1396315826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8989 N GAINEY CENTER DR UNIT 145",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852582114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 15TH ST STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204336",
"telephone_number": "734-945-5322",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA KO, MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-28",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A",
"authorized_official_last_name": "KOZIOL",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "480-376-6456"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@eamedbill.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "credentialing@eamedbill.com",
"address_1": "8989 N Gainey Center Dr Unit 145",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852582114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
- Angel Wheels TX LLC (Angel Wheels)
- Angel Wings Medtrans LLC
- Amber Angel, DDS
- Angel's Adult Group Home, LLC
- Angela J. Christopher, DC, PLLC (Ahwatukee Spine and Disc Center)
- Angela Wilson Counseling PLLC
- Angelic Behavioral Health LLC
- Angelic Complete Home Health Services LLC
- Angelic Healing Centers
- Angelic Hospice Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.