Active NPI
Lear Von Koch MD & Associates
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Scranton, PA
National Provider Identifier
1457422768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- LEAR VON KOCH MD & ASSOCIATES
- Practice address
- 720 Madison Ave
Scranton, PA 18510-1609 - Phone
- (570) 343-1115
- NPI assigned
- Nov 10, 2006
- 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
- Lear Von Koch, M.D.
- Title
- President
- Phone
- (570) 343-1115
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
720 Madison Ave
Scranton, PA 18510-1609
Mailing address
720 Madison Ave
Scranton, PA 18510-1609
Phone (570) 343-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008913210002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
720 Madison Ave
Scranton, PA 18510
Phone (570) 343-1115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Scranton, PA
- NPI 1487725891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457422768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101609",
"telephone_number": "570-343-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101609",
"telephone_number": "570-343-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAR VON KOCH MD & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "LEAR",
"authorized_official_middle_name": "VON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-343-1115",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008913210002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.