DR. DARWIN MARTIN KOLLER M.D. NPI 1568495638

NPI Information

NPI: 1568495638
Provider Name: DR. DARWIN MARTIN KOLLER, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
910 BLACKFORD ST
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 778-6011
Get Directions

DR. Darwin Martin Koller, M.D. is a pediatric emergency medicine pediatrics in Chattanooga, TN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Darwin Martin Koller, M.D. NPI is 1568495638. 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:

910 BLACKFORD ST
CHATTANOOGA, TN
ZIP 37403-405
Phone: (423) 778-6011
Fax: (865) 539-8008

The NPI 1568495638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/21/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD39891	TENNESSEE	No
2	207P00000X	Emergency Medicine		39891	TENNESSEE	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD39891	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H74704	MEDICARE UPIN	TENNESSEE
2	3333990	MEDICAID	TENNESSEE
3	4110137	OTHER	TENNESSEE	BLUE CROSS
4	3333990	MEDICARE PIN	TENNESSEE

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

NPI Synchronization or Removal

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