TIMOTHY C KOCH (NPI# 1497784847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497784847 |
| Entity Type | Individual |
| Full Name | TIMOTHY C KOCH |
| Credential | DO |
| Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
| Practice Telephone | 9204574461 |
| Mailing Telephone | 9204574461 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 43215-21 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43492500 | 05 | |
| WI | MEDICARE RAILROAD | 930105103 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801729 | Timothy Richard Koch | Internal Medicine | 106 Irving St Nw Ste 301, Washington, DC 20010 | 2005-12-07 |
| 1700075835 | Timothy Robert Koch | Pharmacist | 702 Sw 8th St, Bentonville, AR 72716-6209 | 2007-10-15 |
| Street Address |
2414 KOHLER MEMORIAL DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
| 1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
| 1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
| 1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
| 1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
| 1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
| 1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
| 1780177675 | Mallory Florence Andrews | Optometrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326295 | Nour Sinno | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2016-06-06 |
| 1376930214 | Andrew M Thorson | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2015-04-17 |
| 1558774430 | Krisen Rampersad | Emergency Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-06-09 |
| 1548670326 | Steven Braun | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083 | 2014-05-02 |
| 1932487816 | Jesse Michael Justus | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-07-27 |
| 1265726582 | Aaron Michael Ginster | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-06-03 |
| 1497052468 | Dina Bruce | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2011-02-27 |
| 1609187004 | Scott A Kunkel | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2010-06-30 |
| 1790910628 | Jennifer W Dorosh | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2009-05-21 |
| 1710181912 | Thomas R Mccann | Emergency Medicine | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-06-12 |
| Find all providers in SHEBOYGAN | ||||
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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.