Active NPI
David Donald Koch, PHD
- Chemistry Pathology Specialist/Technologist
- Atlanta, GA
National Provider Identifier
1679750368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chemistry Pathology Specialist/Technologist
- Practice address
- 80 Jesse Hill Jr. Drive
Grady Memorial Hospital
Atlanta, GA 30303 - Phone
- (404) 616-5489
- Fax
- (404) 616-9913
- NPI assigned
- Jan 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemistry Pathology Specialist/Technologist | 246QC1000X | Primary |
Addresses
Primary practice location
80 Jesse Hill Jr. Drive
Grady Memorial Hospital
Atlanta, GA 30303
Mailing address
80 Jesse Hill Jr. Drive
Grady Memorial Hospital
Atlanta, GA 30303
Phone (404) 616-5489
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1679750368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR. DRIVE",
"address_2": "GRADY MEMORIAL HOSPITAL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-616-5489",
"fax_number": "404-616-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR. DRIVE",
"address_2": "GRADY MEMORIAL HOSPITAL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-616-5489",
"fax_number": "404-616-9913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DAVID",
"middle_name": "DONALD",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "246QC1000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Chemistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.