Kohlhase

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

150653 Issued in AZ

Legal business name

KOHLHASE

Practice address

6550 E Main Street
Mesa, AZ 85205-9041

Phone

(480) 832-8370

Fax

(480) 985-9411

NPI assigned

Feb 15, 2008

Organization subpart

Yes

Parent organization

KOHLHASEAs reported in NPPES

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

Authorized official

Name

Luke Slabaugh

Title

Broker Agent

Phone

(480) 832-8370

Specialties & licenses 1

Addresses

Part of

Kohlhase

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1982872693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 E MAIN STREET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059041",
            "telephone_number": "480-832-8370",
            "fax_number": "480-985-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E MAIN STREET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059041",
            "telephone_number": "480-832-8370",
            "fax_number": "480-985-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLHASE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOHLHASE",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "SLABAUGH",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "BROKER AGENT",
        "authorized_official_telephone_number": "480-832-8370"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AZ",
            "license": "150653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Andrew Koenke, D.C.
• Jessica Christine Koeppen
• Kent Koerber
• Tatum Kofmehl, OTD R/L
• Kohala Cardiovascular Interventions LLC (Ohana Cardiology)
• Gary Clarence Kohring, D. O.
• Cheyenne A Koki, PT, DPT, ATC
• Kendall Kokora, FNP-C
• Prashant Kolar, MD
• Katherine E Kolb, PA

• Supports Brokerage Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Supports Brokerage Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.