DR. PETER J KOCH (NPI# 1386664928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386664928 |
| Entity Type | Individual |
| Full Name | DR. PETER J KOCH |
| Credential | M.D. |
| Practice Address |
1207 Fairchild Ct Woodland CA 95695-4321 |
| Mailing Address |
3 El Dorado Ct Woodland CA 95695-5218 |
| Practice Telephone | 5306661631 |
| Practice Fax Number | 5306612410 |
| Mailing Telephone | 5306620354 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G36013 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G360130 | 05 | |
| CA | BLUE SHIELD | 00G360130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252382 | Peter Allen Koch | Dentist | 1065 Main Street, Suite C, Fishkill, NY 12524 | 2007-02-15 |
| 1023467644 | Peter Koch | Pharmacist | 1501 E Algonquin Rd, Algonquin, IL 60102-4532 | 2016-06-03 |
| 1720172505 | Peter Koch | Emergency Medicine | 355 Grand St, Jersey City, NJ 07302-4321 | 2006-10-03 |
| Street Address |
1207 FAIRCHILD CT |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180975 | Karen T Hopp | Family Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2005-10-28 |
| 1619354339 | Jason Michael Lee | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2015-05-01 |
| 1710306659 | Jonathan D Funk | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2014-04-08 |
| 1629335427 | Amy Ruth Glick | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2012-04-18 |
| 1679898175 | Amy L. Ledgerwood | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2010-03-29 |
| 1558518464 | Sarah E Telles | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-08-21 |
| 1851550644 | Clara Cazares | Social Worker | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-06-05 |
| 1346432929 | Agnes Warhover | Physician Assistant | 1207 Fairchild Ct, Woodland, CA 95695 | 2007-08-16 |
| 1356553317 | Cong Zhang | Internal Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2007-05-04 |
| 1801955216 | Betty Lynn Mcnamara | Audiologist | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588848329 | James Edward Mcgibbon | Obstetrics & Gynecology | 205 Los Robles Way, Woodland, CA 95695-5228 | 2007-12-27 |
| 1619174844 | Rebecca Afba Arthur | Obstetrics & Gynecology | 1321 Cottonwood St Ste F13, Woodland, CA 95695 | 2007-06-29 |
| 1053705475 | Guillermina Lexie Morales | Obstetrics & Gynecology | 1321 Cottonwood St Fl 3, Woodland, CA 95695-5131 | 2015-03-24 |
| 1568742054 | Amira Binti Zaid | Obstetrics & Gynecology | 1321 Cottonwood St Fl 3, Woodland, CA 95695-5131 | 2011-08-28 |
| 1497913404 | Nathaniel B Ngo | Obstetrics & Gynecology | 1321 Cottonwood St Fl 3, Woodland, CA 95695-5131 | 2008-05-27 |
| 1265621197 | My-le To | Obstetrics & Gynecology | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2007-10-16 |
| 1891991477 | Jay Curkendall | Obstetrics & Gynecology | 632 W Gibson Rd, Woodland, CA 95695 | 2007-06-21 |
| 1174545370 | Joahnna A Padilla | Obstetrics & Gynecology | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2006-07-24 |
| 1366462095 | Alton L Curtis | Obstetrics & Gynecology | 632 W Gibson Rd, Woodland, CA 95695 | 2006-07-19 |
| 1750306718 | Cathy J Jang | Obstetrics & Gynecology | 1321 Cottonwood St, Woodland, CA 95695-5131 | 2006-07-12 |
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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.