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DR. JOHN KEVIN KOCH MD NPI 1104824044


NPI Information

NPI: 1104824044
Provider Name: DR. JOHN KEVIN KOCH, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
800 GRAND CENTRAL MALL
SUITE 2
VIENNA, WV
ZIP 26105
Phone: (304) 865-4350
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DR. John Kevin Koch, MD is a surgery in Vienna, WV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. John Kevin Koch, MD NPI is 1104824044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 GRAND CENTRAL MALL
SUITE 2
VIENNA, WV
ZIP 26105-100
Phone: (304) 865-4350
Fax: (304) 865-4348

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery19553WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G85618MEDICARE UPIN
20011154000MEDICAIDWEST VIRGINIA
39298571OTHERWEST VIRGINIAMEDICARE PTAN
4311599387003OTHERWEST VIRGINIAMOUTAIN STATE BCBS
5201655OTHERFEDERAL BLACK LUNG
62197448MEDICAIDOHIO
7311599387-00OTHEROHIOWORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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