Nicholas Koehler, P.a.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME104572 Issued in FL

Legal business name

NICHOLAS KOEHLER, P.A.

Practice address

5802 N 30TH St
Tampa, FL 33610-1469

Phone

(813) 328-8714

Fax

(813) 873-0306

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Nicholas Koehler, MDNPI 1538373105

Title

President

Phone

(813) 393-6247

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas E Koehler, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1538373105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1639538754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N HOWARD AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061574",
            "telephone_number": "813-328-8714",
            "fax_number": "813-873-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 N 30TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101469",
            "telephone_number": "813-328-8714",
            "fax_number": "813-873-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N Howard Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061574",
            "country_code": "US",
            "telephone_number": "813-328-8714",
            "fax_number": "813-873-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Tampa General Cir",
            "address_2": "Suite R136",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-393-6247",
            "fax_number": "813-884-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS KOEHLER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-393-6247",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME104572",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "ME104572",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME104572",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME104572",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME104572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pontea Niaki, MD
• Nancy Carolina Nicaragua- Ferrante, M.ED., BCBA
• Lindsay Michelle Niccolai, PHD
• Chris Nicely
• Michelle Diane Nicely, P.A.- C.
• Nicholas Mickelson LLC
• Dion Albert Nicholas, LMT
• Melissa Michelle Nicholas
• Michael John Nicholas, MD
• Rosemarie Nicholas, PA-C

• Pain Medicine (Anesthesiology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.

Verify at the official NPI Registry.