Active NPI
Susan Koch, C.N.M.
- Midwife
- West Reading, PA
National Provider Identifier
1902868573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW008547L
- Practice address
- 420 S 5TH Ave
West Reading, PA 19611-2143 - Phone
- (484) 628-4075
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW008547L | PA | Primary |
Addresses
Primary practice location
420 S 5TH Ave
West Reading, PA 19611-2143
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100840156 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008547L | PA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1902868573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S 5TH AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196112143",
"telephone_number": "484-628-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "SUSAN",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW008547L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100840156",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.