Active NPI
Nicholas James Koch, M.D.
- Emergency Medicine Physician
- Aberdeen, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C4550
- Practice address
- 915 Anderson Dr
Aberdeen, WA 98520-1006 - Phone
- (360) 532-8330
- NPI assigned
- Apr 8, 2014
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21697 | ND | |
| Emergency Medicine Physician | 207P00000X | MED-PHYS-COM-LIC-158 | MT | |
| Emergency Medicine Physician | 207P00000X | 15714A | WY | |
| Emergency Medicine Physician | 207P00000X | C4550 | KY | Primary |
| Emergency Medicine Physician | 207P00000X | TD61442314 | WA | |
| Emergency Medicine Physician | 207P00000X | 27283 | NV | |
| Emergency Medicine Physician | 207P00000X | C179538 | CA |
Addresses
Primary practice location
915 Anderson Dr
Aberdeen, WA 98520-1006
Mailing address
2708 Foothill Blvd # 1014
La Crescenta, CA 91214-3516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WY, WA, ND, MT, NV, KY, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132
1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100
400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
Hospital & facility affiliations
- Jackson Purchase Medical Center
- Grays Harbor Community Hospital
- St James Hospital
- Mercy Hospital Ardmore, Inc
- Saint Francis Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C179538 | CA | MD | Emergency Medicine Physician |
| C4550 | KY | MD | Emergency Medicine Physician |
| MED-PHYS-COM-LIC-158 | MT | MD | Emergency Medicine Physician |
| 27283 | NV | MD | Emergency Medicine Physician |
| 15714A | WY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Olney Emergency Group, a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Emergency Medicine | Current | Accepting new patients |
| Campbell County Hospital District | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Crum,Stefanko and Jones LTD | Emergency Medicine | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Washington Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Washington Emergency Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Campbell County Hospital District | Current | Accepting new patients | |
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| Campbell County Hospital District | Emergency Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Home Care | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1200 N State St
Los Angeles, CA 90089
Phone (323) 226-2170
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
3369 Solutions Ctr
Chicago, IL 60677
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Organizations & group practices 22
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Family Medicine Physician
- Butte, MT
- NPI 1477869600
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Emergency Medicine Physician
- Toppenish, WA
- NPI 1386108868
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
- Emergency Medicine Physician
- Kennewick, WA
- NPI 1346586351
-
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Emergency Medicine Physician
- Elko, NV
- NPI 1285645515
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1912326836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 FOOTHILL BLVD # 1014",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ANDERSON DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201006",
"telephone_number": "360-532-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "21697",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "MED-PHYS-COM-LIC-158",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "15714A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "C4550",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "TD61442314",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "27283",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C179538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.