Organization Active NPI

Koh, Inc.

  • Family Medicine Physician
  • Cumberland, RI
National Provider Identifier
1700876083
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KOH, INC.
Practice address
175 Nate Whipple Hwy
Suite 201
Cumberland, RI 02864-1416
Phone
(401) 671-2934
Fax
(401) 671-2936
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Kate Ann O'Heelan, DO
Title
Physician/Owner
Phone
(401) 475-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

175 Nate Whipple Hwy
Suite 201
Cumberland, RI 02864-1416

Mailing address

175 Nate Whipple Hwy
Suite 201
Cumberland, RI 02864-1416
Phone (401) 671-2934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1700876083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641416",
            "telephone_number": "401-671-2934",
            "fax_number": "401-671-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641416",
            "telephone_number": "401-671-2934",
            "fax_number": "401-671-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "O'HEELAN",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "401-475-7650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.