Active NPI
Erik Charles Kofler, D.O.
- Anesthesiology Physician
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OP60758853
- Practice address
- 401 W Poplar St
Walla Walla, WA 99362-2846 - Phone
- (855) 600-5163
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OP60758853 | WA | Primary |
| Anesthesiology Physician | 207L00000X | DOL.OL.60473440 | WA |
Addresses
Primary practice location
401 W Poplar St
Walla Walla, WA 99362-2846
Mailing address
401 W Poplar St
Walla Walla, WA 99362-2846
Other practice location 1
55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 522-5174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.73 of 100
- Quality
- 83.21
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOL.OL.60473440 | WA | MD | Anesthesiology Physician |
| OP60758853 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Service- Washington | Anesthesiology | Current | Accepting new patients |
Locations
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
101 W 8th Ave
Bldg 3RD
Spokane, WA 99204
55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
Organizations & group practices 1
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.
-
dba Providence Anesthesia Services
- Anesthesiology Physician
- Spokane, WA
- NPI 1508118555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1518387075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W POPLAR ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W POPLAR ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622846",
"telephone_number": "855-600-5163"
}
],
"practiceLocations": [
{
"address_1": "55 W Tietan St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624445",
"country_code": "US",
"telephone_number": "509-522-5174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOFLER",
"first_name": "ERIK",
"middle_name": "CHARLES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP60758853",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "DOL.OL.60473440",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.