Active NPI
Norman Koff, DPM
- Podiatrist
- Okeechobee, FL
National Provider Identifier
1548210214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00435
- Practice address
- 2006 SW 5TH Dr
Okeechobee, FL 34974 - Phone
- (863) 763-5280
- Fax
- (863) 763-5280
- NPI assigned
- May 11, 2006
- Last updated
- Feb 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00435 | FL | Primary |
Addresses
Primary practice location
2006 SW 5TH Dr
Okeechobee, FL 34974
Mailing address
PO Box 1282
Okeechobee, FL 34973
Phone (863) 763-5280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041281300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00435 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1548210214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1282",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "34973",
"telephone_number": "863-763-5280",
"fax_number": "863-763-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 SW 5TH DR",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "34974",
"telephone_number": "863-763-5280",
"fax_number": "863-763-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOFF",
"first_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "00435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041281300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.