KOE MEDICAL CONSULTING, INC. (NPI# 1295274660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295274660 |
| Entity Type | Organization |
| Organization Name | KOE MEDICAL CONSULTING, INC. |
| Practice Address |
5680 Trinidad Way San Diego CA 92114-5310 |
| Mailing Address |
2754 Imperial Ave San Diego CA 92102-4031 |
| Practice Telephone | 7733986867 |
| Mailing Telephone | 7733986867 |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |
| Authorized Official Name | KELLY ELMORE (PRESIDENT) |
| Authorized Official Telephone | 7733986867 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A105818 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5680 TRINIDAD WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1750434403 | Integrative Medicine Associates, PC | Obstetrics & Gynecology | 2850 6th Ave Ste 412, San Diego, CA 92103-6315 | 2007-01-18 |
| 1124124730 | Parvin Mani, Inc | Obstetrics & Gynecology | 5555 Reservoir Dr Ste 208, San Diego, CA 92120-5187 | 2006-09-15 |
| 1518925015 | Parvin Pam Mani | Obstetrics & Gynecology | 5555 Reservoir Dr, Ste 208, San Diego, CA 92120 | 2006-05-03 |
| 1467417956 | Lila L. Schmidt, M.d., Inc | Obstetrics & Gynecology | 4060 4th Ave., # 610, San Diego, CA 92103-2121 | 2006-04-19 |
| 1124010483 | William David Koltun | Obstetrics & Gynecology | 9040 Friars Rd, Suite 540, San Diego, CA 92108-5859 | 2005-08-22 |
| 1073516316 | Robin Carol Wedberg | Obstetrics & Gynecology | 5030 Camino De La Siesta, Ste 106, San Diego, CA 92108-3117 | 2005-05-31 |
| 1821382573 | Tammy Pham, M.d., Inc. | Obstetrics & Gynecology | 4060 Fourth Ave, Suite 610, San Diego, CA 92103-2116 | 2011-05-30 |
| 1306091186 | Joshua Cohen Md Inc | Obstetrics & Gynecology | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2008-11-20 |
| 1013197045 | Erin Barcarse | Obstetrics & Gynecology | 200 West Arbor Drive, Dept 8433, San Diego, CA 92103-8433 | 2007-11-07 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on KOE MEDICAL CONSULTING, INC..
| 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.