MRS. AMANDA RENEE KOCH (NPI# 1407189210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407189210 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RENEE KOCH |
| Other Name | MISS AMANDA RENEE MEITZLER |
| Credential | PA-C |
| Practice Address |
1416 Penn Ave Wyomissing PA 19610-2134 |
| Practice Telephone | 6103763936 |
| Practice Fax Number | 6103720215 |
| Mailing Telephone | 6103763936 |
| Mailing Fax Number | 6103720215 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922271436 | Amanda Koch | Occupational Therapist | 215 Telly Rd, Picayune, MS 39466-5363 | 2008-04-04 |
| 1679189591 | Amanda Rachel Koch | Counselor | 225 S 69th St, Upper Darby, PA 19082-4212 | 2020-09-16 |
| 1568816908 | Amanda Koch | Massage Therapist | 3615 Nicholas St, Easton, PA 18045-5113 | 2016-04-22 |
| 1902210727 | Amanda Koch | Social Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2014-06-19 |
| 1326394842 | Amanda Koch | Speech-Language Pathologist | 25 Adams Rd, Williamstown, MA 01267-2928 | 2012-08-02 |
| Street Address |
1416 PENN AVE |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694179 | Codi Lynne Logsdon | Registered Nurse | 1416 Penn Ave, Wyomissing, PA 19610-2134 | 2017-04-20 |
| 1518354851 | Nader Rahmanian Md LLC | Internal Medicine | 1416 Penn Ave, Wyomissing, PA 19610-2134 | 2015-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013785 | Ryan Milloy | Physician Assistant | 716 N Park Rd Ste 1, Wyomissing, PA 19610-2912 | 2016-10-12 |
| 1255339388 | Jaime E Heisey | Physician Assistant | 1040 Reed Ave, Suite 4, Wyomissing, PA 19610-2029 | 2005-07-12 |
| 1316586084 | Stephanie Deem | Physician Assistant | 850 Knitting Mills Way, Wyomissing, PA 19610-3010 | 2019-12-30 |
| 1447899125 | Danielle Berman | Physician Assistant | 2760 Century Blvd Ste 2, Wyomissing, PA 19610-3359 | 2019-12-30 |
| 1265073365 | Alexandra N Hartz | Physician Assistant | 850 Knitting Mills Way, Wyomissing, PA 19610-3010 | 2019-10-01 |
| 1407407943 | Jenna Clarke | Physician Assistant | 1040 Reed Ave Ste 4, Wyomissing, PA 19610-2029 | 2019-09-26 |
| 1316597628 | Samantha Nicole Close | Physician Assistant | 850 Knitting Mills Way, Wyomissing, PA 19610-3010 | 2019-09-18 |
| 1619527041 | Lindsey Murphy | Physician Assistant | 850 Knitting Mills Way, Wyomissing, PA 19610-3010 | 2019-09-17 |
| 1356996847 | Tessa Mundell | Physician Assistant | 950a N Wyomissing Blvd, Wyomissing, PA 19610-1722 | 2019-08-02 |
| 1831758044 | Patrick Smith | Physician Assistant | 1802 State Hill Rd, Wyomissing, PA 19610-1604 | 2019-06-11 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on MRS. AMANDA RENEE KOCH.
| 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.