DR. MARK ROSS KOCH (NPI# 1376948372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376948372 |
| Entity Type | Individual |
| Full Name | DR. MARK ROSS KOCH |
| Credential | DDS |
| Practice Address |
521 Edgewater Rd Pasadena MD 21122-5633 |
| Practice Telephone | 4102557471 |
| Mailing Telephone | 4102557471 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5985 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1275176984 | Mark Koch | Physician Assistant | 5656 Kelley St, Houston, TX 77026-1967 | 2019-10-25 |
| 1962532630 | Mark G. Koch | Dentist | 13123 E 16th Ave, B240, Aurora, CO 80045-7106 | 2007-03-06 |
| 1528102647 | Mark Peter Koch | Family Medicine | 33700 Hwy 43, Thomasville, AL 36784-3555 | 2007-02-20 |
| 1699828251 | Mark James Koch | Chiropractor | 1055 Legion Dr, Elm Grove, WI 53122-2202 | 2007-01-18 |
| 1396808622 | Mark Gerald Koch | Marriage & Family Therapist | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2006-12-18 |
| 1174512651 | Mark Koch | Family Medicine | 1500 S Main St, Dept of Family Medicine, Fort Worth, TX 76104-4917 | 2005-10-18 |
| 1326031337 | Mark Koch | Nurse Anesthetist, Certified Registered | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2005-08-24 |
| Street Address |
521 EDGEWATER RD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294033 | Tracy Ho | Dentist | 3015 Gainsborough Dr, Pasadena, CA 91107-5509 | 2020-08-02 |
| 1508417999 | Pasadena Modern Dentistry, PC | Dentist | 5714 Fairmont Pkwy, Pasadena, TX 77505-3906 | 2019-09-26 |
| 1528629300 | Aditya Wagh | Dentist | 2000 Richey St Ste B, Pasadena, TX 77502-3332 | 2019-06-24 |
| 1518475540 | Seleem Dental Inc. | Dentist | 133 S Los Robles Ave Unit 100, Pasadena, CA 91101-5824 | 2018-01-11 |
| 1760923429 | Giselle Galanto | Dentist | 267 S Oak Knoll Ave, Apt 18, Pasadena, CA 91101-2925 | 2017-03-14 |
| 1134592199 | Southern Dental At Pasadena Pllc | Dentist | 7219 Fairmont Pkwy Ste 100, Pasadena, TX 77505-4612 | 2015-11-12 |
| 1003286519 | Tian Jin | Dentist | 788 E Walnut St, Pasadena, CA 91101-1638 | 2015-09-28 |
| 1942676382 | Arianna Damian Yeh | Dentist | 164 N Oak Knoll Ave, Apt 7, Pasadena, CA 91101-1846 | 2015-08-20 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1861878969 | Abc Dentistry Pasadena Pa | Dentist | 1500 Southmore Ave, Pasadena, TX 77502-1307 | 2015-07-31 |
| Find all providers in PASADENA | ||||
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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.