CODY A KOCH (NPI# 1316149925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316149925 |
| Entity Type | Individual |
| Full Name | CODY A KOCH |
| Credential | MD, PHD |
| Practice Address |
4855 Mills Civic Pkwy West Des Moines IA 50265-5268 |
| Practice Telephone | 5152775555 |
| Mailing Telephone | 5152775555 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
40814 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0293193 | 01 |
| WA | 1316149925 | 05 |
| Street Address |
4855 MILLS CIVIC PKWY |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50265-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840534 | Vincent Hanna | Counselor | 225 23rd Street, West Des Moines, IA 50265 | 2017-09-29 |
| 1023547940 | Stephanie Hay | Massage Therapist | 105 S. 11th Street, West Des Moines, IA 50265 | 2017-06-05 |
| 1538606975 | Vermeer Quist Consulting, LLC | Community/Behavioral Health | 1115 Grand Ave, St. Mark Lutheran Church, West Des Moines, IA 50265 | 2017-01-24 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1821237942 | Jeffrey Lenz Md PC | Family Medicine | 1235 8th Street, West Des Moines, IA 50265 | 2009-02-12 |
| 1962564856 | Cindy Schloss Calhoun | Social Worker | 1211 Vine St, Suite 2150, Des Moines, IA 50265 | 2006-12-15 |
| 1871671388 | Barbara Lynn Nebel | Speech-Language Pathologist | 950 Office Park Road, Suite 121, West Des Moines, IA 50265 | 2006-11-01 |
| 1639268576 | Brent Lane Cooper | Physical Therapist | Central Rehabilitation, Ltd, 950 Office Park Road, Suite 100, West Des Moines, IA 50265 | 2006-10-11 |
| 1104875319 | Jason A Nesheim | Optometrist | 1905 E P True Parkway, Ste 103, West Des Moines, IA 50265 | 2006-05-08 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| Find all providers in zip 50265 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| City | WEST DES MOINES |
| Zip Code | 50265 |
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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.