Nicholas M Koch, RPHT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

RPT11893 Issued in FL

Practice address

19451 Cochran Blvd Unit 2000
Port Charlotte, FL 33948-2008

Phone

(941) 235-2388

Fax

(941) 235-2391

NPI assigned

Jan 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Port Charlotte, FL
  • NPI 1831139302
  NPD (past)

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1629316088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 COCHRAN BLVD UNIT 2000",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482008",
            "telephone_number": "941-235-2388",
            "fax_number": "941-235-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19451 COCHRAN BLVD UNIT 2000",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482008",
            "telephone_number": "941-235-2388",
            "fax_number": "941-235-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "credential": "RPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "RPT11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Hu Kishtok, SLP
• Alexandra Kitchener, APRN
• Alyssa Michelle Klein, MSN FNP-BC
• Joanna Madonna Kluesner, OD
• Janie Knight, M.S. CCC-SLP
• Janice M Koontz, RPH
• George Cyriac Koppuzha, MD
• Nathan Koranteng, ACNP-BC
• Laura R Korman, D.C., P.A.
• Eniko Korodi

• Other Technician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.