Christine Amanda Koch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0059543 Issued in CO

Practice address

2577 Main Ave
Durango, CO 81301-5919

Phone

(970) 247-8382

Fax

(970) 259-4403

NPI assigned

Apr 23, 2015

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durango Urgent Care LLCGroup PAC ID 9335141266, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durango Urgent Care LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1154354512
  Medicare reassignment Care Compare group NPD
• Aztec Urgent Care, LLC

  dba Four Corners Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Aztec, NM
  • NPI 1063741163
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center, Inc

  dba Axis Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1750901260
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  dba Mercy Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba MMC DUC Diagnostic Imaging

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Mercy Imaging Center

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1619364015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015919",
            "telephone_number": "970-247-8382",
            "fax_number": "970-259-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015919",
            "telephone_number": "970-247-8382",
            "fax_number": "970-259-4403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 E Empire St",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212802",
            "country_code": "US",
            "telephone_number": "970-565-7946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Benwood St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508532",
            "country_code": "US",
            "telephone_number": "956-389-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 S Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874102260",
            "country_code": "US",
            "telephone_number": "505-334-2664",
            "fax_number": "505-334-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CHRISTINE",
        "middle_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10052470",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Klumpenhower
• Knauf D.P.M., LLC
• Victoria Ruby Knauf, DPM
• Gabrielle Marie Knight
• James Knight, APN
• Darci R Kochen, R.M.T.
• Sandra Koenig, CCC-SLP
• Kelsey Kolz, M.S., LPCC
• Jay Komarek, D.C., C.A.C.
• Kathleen Marie Korndoerfer, M.A.

• Family Medicine Physician in Durango, CO
• Providers in Durango, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.

Verify at the official NPI Registry.