Active NPI
Kathryn Ann Koch, MD
- Critical Care Medicine (Internal Medicine) Physician
- Ocala, FL
National Provider Identifier
1558320242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME40104
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34471-6504 - Phone
- (352) 351-7200
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME40104 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME40104 | FL | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34471-6504
Mailing address
PO Box 3130
Ocala, FL 34478-3130
Phone (352) 867-8311
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000282906A | Medicaid | GA | |
| 15699 | Other | FL | BCBS OF FL |
| 004947300 | Medicaid | FL | |
| P00794327 | Other | FL | RR MEDICARE |
| 110055915 | Other | FL | RAILROAD MEDICARE |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1558320242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3130",
"city": "OCALA",
"state": "FL",
"postal_code": "344783130",
"telephone_number": "352-867-8311",
"fax_number": "352-867-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "352-351-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME40104",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME40104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000282906A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "15699",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004947300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00794327",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110055915",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.