Koch Audiology, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

23002390A Issued in IN

Legal business name

KOCH AUDIOLOGY, LLC

Practice address

915 N Western Ave
Marion, IN 46952-2505

Phone

(765) 664-3470

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Stout Koch, AU.D.

Title

Owner

Phone

(317) 464-9067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Andrea Stout, AUDIOLOGIST

  • Audiologist
  • Marion, IN
  • NPI 1225057995
  Medicare reassignment NPD
• Valentina Bachnivsky, M.A.T.

  • Audiologist
  • Marion, IN
  • NPI 1114045713
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1770843906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522505",
            "telephone_number": "765-664-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522505",
            "telephone_number": "765-664-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "STOUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-464-9067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IN",
            "license": "23002390A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kindt
• Angela Faith Kitashoji
• Rachel Klinzing
• Kristine A Knapp, MD
• Susan Knapp, RN
• Dee Ann Koegel
• John Christian Koegel
• Chelsea Faye Kolodziej, DO
• Madison Brooke Konieczny, RBT
• Carrie Beth Ann Koons, LCSW

• Hearing and Speech Clinic/Center in Marion, IN
• Providers in Marion, IN by specialty
• Hearing and Speech Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.