Active NPI
Lisa M Koch, AU.D.
- Audiologist
- Huntington, WV
National Provider Identifier
1609119700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0320
- Practice address
- 601 6TH Ave
Huntington, WV 25701-2103 - Phone
- (304) 525-7221
- NPI assigned
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0320 | OH | Primary |
| Audiologist | 231H00000X | 0158 | KY | |
| Audiologist | 231H00000X | A0291 | WV |
Addresses
Primary practice location
601 6TH Ave
Huntington, WV 25701-2103
Mailing address
601 6TH Ave
Huntington, WV 25701-2103
Phone (304) 525-7221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311090322 | Other | FEIN 311090322 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV, KY
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0158 | KY | MD | Audiologist |
| A0320 | OH | MD | Audiologist |
| A0291 | WV | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Jeffrey Leider MD PLLC | Audiologist | Current | Accepting new patients |
| Mobile Medical Inc | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Jeffrey Leider MD PLLC | Current | Accepting new patients | |
| Wsptn, Corp | Past | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| H William Mattingly Corporation | Past | Accepting new patients | |
| De McVey Enterprises Inc | Audiologist | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629
135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
Organizations & group practices 9
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.
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-
- Geriatric Medicine (Family Medicine) Physician
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-
- Dentist
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-
- Hearing Aid Equipment
- Huntington, WV
- NPI 1114081338
-
- Hearing Instrument Specialist
- Huntington, WV
- NPI 1932599974
-
- Audiologist
- Athens, OH
- NPI 1326184938
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1609119700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012103",
"telephone_number": "304-525-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012103",
"telephone_number": "304-525-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A0320",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0158",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A0291",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN 311090322",
"identifier": "311090322",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.