John P Kohler, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD031995E Issued in PA

Practice address

1 Bala Ave
Suite 418
Bala Cynwyd, PA 19004-3212

Phone

(610) 664-6565

Fax

(610) 660-8784

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

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  • Neurology Physician
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  • NPI 1801825773
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1861508954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 YOUNGS FORD ROAD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "19035",
            "telephone_number": "610-664-6565",
            "fax_number": "610-660-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "SUITE 418",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "610-664-6565",
            "fax_number": "610-660-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000232L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD031995E",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04461600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010281690001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "085032",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryl Klopp, D.M.D.
• Richard Philip Kluft, M.D.
• Jerome Francis Knast, PH.D.
• Helene M. Koch, D.O.
• Christine R. Kodman-Jones, PH.D.
• Amanda M Kopetsky
• Wilhelmina Cornelia Korevaar, MD
• Jordan Kowet
• Michael Paul Kowitt, PHD
• Kevin William Kozlik

• Surgery Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.