SONDRA ELISE KOCH (NPI# 1295895571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295895571 |
Entity Type | Individual |
Full Name | SONDRA ELISE KOCH |
Credential | PA |
Practice Address |
849 Pacific Ave Hood River OR 97031-1956 |
Practice Telephone | 5413866380 |
Practice Fax Number | 5413861078 |
Mailing Telephone | 5413866380 |
Mailing Fax Number | 5413861078 |
Enumeration Date | 2006-12-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01172 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | MK1509491 | 01 |
Street Address |
849 PACIFIC AVE |
City | HOOD RIVER |
State | OR |
Zip Code | 97031-1956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013919703 | Jenny Harris | Physician Assistant | 849 Pacific Ave, Hood River, OR 97031-1956 | 2005-08-11 |
1568073906 | Alina Bryant | Dental Hygienist | 849 Pacific Ave, Hood River, OR 97031-1956 | 2020-08-10 |
1134745045 | Fernando Polanco | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2020-06-17 |
1821618885 | Jessica E Worrell | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2020-04-20 |
1235759432 | Shannon-marie O'brien | Social Worker | 849 Pacific Ave, Hood River, OR 97031-1956 | 2020-04-17 |
1720642655 | Madeline Ann Bierle | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2019-04-25 |
1730743667 | Ben Robert Coffey | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2019-04-25 |
1821587924 | Laura Marie F Brown | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2018-05-03 |
1083103188 | Enrique Riddle | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031 | 2018-05-03 |
1396271425 | Kate M Kleaveland | Student in an Organized Health Care Education/Training Program | 849 Pacific Ave, Hood River, OR 97031-1956 | 2017-05-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
1760947444 | Madison Bubb | Behavior Technician | 1270 Tucker Road, Hood River, OR 97031 | 2019-02-06 |
1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
1720511926 | Ohsana Valle | Specialist/Technologist | 3242 Mud Alley Rd, Hood River, OR 97031 | 2017-04-05 |
1811353287 | Carolina Cecelia Castro | Counselor | 965 Tucker Road, Hood River, OR 97031 | 2016-01-14 |
1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
1518364272 | Kimberly Althea Perez | Counselor | 1425 Rockfor Rd., Hood River, OR 97031 | 2014-11-24 |
1508287871 | Mid-columbia Center for Living | Community/Behavioral Health | 3686 Davis Drive, Hood River, OR 97031 | 2014-01-03 |
Find all providers in zip 97031 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497804173 | Victoria Hopkins | Physician Assistant | 917 11th St, Hood River, OR 97031-1578 | 2007-01-10 |
1053309286 | Clara T Deleon | Physician Assistant | 1750 12th St, Hood River, OR 97031 | 2005-10-11 |
1992798334 | Gilbert Paul Moyer | Physician Assistant | 849 Pacific Ave, Hood River, OR 97031-1956 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
Find all providers with the same taxonomy |
City | HOOD RIVER |
Zip Code | 97031 |
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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.