ENRIQUE KOH (NPI# 1184629552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184629552 |
| Entity Type | Individual |
| Full Name | ENRIQUE KOH |
| Credential | MD |
| Practice Address |
1100 W High St Ebensburg PA 15931-1706 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Practice Telephone | 8144727933 |
| Practice Fax Number | 8144722301 |
| Mailing Telephone | 8144108300 |
| Mailing Fax Number | 8144108331 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD052898L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014671780003 | 05 |
| Street Address |
1100 W HIGH ST |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748455 | Allegheny Home Health, Inc. | Home Health | 1100 W High St, Suite 105, Ebensburg, PA 15931-1706 | 2005-05-23 |
| 1609196757 | Julie Anne Reitnauer | Physician Assistant | 1100 W High St, Ebensburg, PA 15931-1706 | 2010-06-10 |
| 1609196286 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 1100 W High St, Ebensburg, PA 15931-1706 | 2010-06-07 |
| 1184868051 | Prodigy Dialysis | Clinic/Center | 1100 W High St, Ebensburg, PA 15931-1706 | 2009-04-23 |
| 1023205929 | Magley Family Practice, Inc | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-09-25 |
| 1295952828 | Robert C Magley, Md, PC | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-04-18 |
| 1902901390 | Conemaugh Health Initiatives | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2006-09-13 |
| 1013945047 | Robert Scott Magley | Emergency Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720095458 | Krishen Kesav Nayak | Family Medicine | 4501 Admiral Peary Highway, Ebensburg Center, Ebensburg, PA 15931-0600 | 2006-08-02 |
| 1295766962 | Anton Omer Skerl | Family Medicine | 399 Municipal Rd, Ebensburg, PA 15931-7612 | 2006-07-05 |
| 1770522237 | Robert F Cosharek | Family Medicine | 4501 Admiral Peary Hwy, Ebensburg, PA 15931-4332 | 2006-06-06 |
| 1104482587 | Lieb Family Practice Inc | Family Medicine | 188 Industrial Park Rd Ste B, Ebensburg, PA 15931-4125 | 2019-05-12 |
| 1982098927 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2015-03-27 |
| 1124434162 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 171 Lovell Ave, Lovell Park Professional Building, Ebensburg, PA 15931-1855 | 2014-07-10 |
| 1831505981 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 188 Industrial Park Rd, Ste. B, Ebensburg, PA 15931-4125 | 2014-07-09 |
| 1467882373 | Conemaugh Health Initiatives | Family Medicine | 188 Industrial Park Rd, Suite B, Ebensburg, PA 15931-4125 | 2013-11-14 |
| 1023205929 | Magley Family Practice, Inc | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-09-25 |
| 1295952828 | Robert C Magley, Md, PC | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-04-18 |
| Find all providers in EBENSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.