MR. ROBERT ANTHONY KOCH (NPI# 1710078985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710078985 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ANTHONY KOCH |
| Credential | D.C.P.C. |
| Practice Address |
14720 Fort St Southgate MI 48195-1217 |
| Practice Telephone | 7342812400 |
| Practice Fax Number | 7342811795 |
| Mailing Telephone | 7342812400 |
| Mailing Fax Number | 7342811795 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301004639 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 4504093 | 01 |
| MI | T33835 | 05 | |
| MI | BCBSM | 0Q25076 | 01 |
| MI | M-CARE | C7938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515885 | Robert James Koch | Dentist | 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 | 2020-07-07 |
| 1992023543 | Robert John Koch | Pharmacist | 1750 Highland Rd Ste 1, Twinsburg, OH 44087-2244 | 2010-05-06 |
| 1386749224 | Robert Benjamin Koch | Dentist | 1210 Dry Hollow Rd Ste 4, The Dalles, OR 97058-3167 | 2006-09-14 |
| 1538163589 | Robert Kent Koch | Pediatrics | 7001 A St, Suite 110, Lincoln, NE 68510-4201 | 2005-06-08 |
| 1801282967 | Robert Koch | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2015-04-15 |
| 1497182729 | Robert Arthur Koch IIi | Pediatrics | 221 Piikea Ave Suite A, Kiha, HI 96753 | 2013-10-01 |
| 1548544943 | Robert Ernest Koch | Pharmacist | 700 Jimmy Dr, Smyrna, DE 19977-5806 | 2011-10-04 |
| 1124311873 | Robert S Koch | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2011-05-26 |
| 1912140575 | Robert Christopher Koch | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2009-04-13 |
| 1831397991 | Robert Jordan Koch | Chiropractor | 415 E Michigan St, Orlando, FL 32806-4554 | 2007-07-10 |
| Street Address |
14720 FORT ST |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649460346 | Robert A Koch D.c.p.c. | Chiropractor | 14720 Fort St, Southgate, MI 48195-1217 | 2007-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730460510 | Joseph Anthony Shusteric | Chiropractor | 13301 Reeck Ct, Southgate, MI 48195-3054 | 2011-09-07 |
| 1871777490 | Beller Chiropractic Life Center, Inc | Chiropractor | 13301 Reeck Court, Suite 1a, Southgate, MI 48195-3054 | 2007-12-18 |
| 1487779906 | Ronald A Hyder | Chiropractor | 15418 Brest St, Southgate, MI 48195-2207 | 2007-03-21 |
| 1811032147 | Bryan D. Beller | Chiropractor | 14701 Northline Rd, Southgate, MI 48195-2407 | 2007-02-21 |
| 1083754477 | Cw Odell Chiropractic Clinic | Chiropractor | 14390 Fort St, Southgate, MI 48195-1271 | 2007-02-07 |
| 1376606848 | Cecilia Ingrid Leppen | Chiropractor | 15461 Dix Toledo Rd, Southgate, MI 48195-2662 | 2006-12-18 |
| 1932276946 | Russell Chiropractic Health P.C. | Chiropractor | 15195 Allen Rd., Southgate, MI 48195-2921 | 2006-11-29 |
| 1205909660 | Timothy Michael Thomas | Chiropractor | 15173 Eureka Rd, Southgate, MI 48195-2637 | 2006-11-15 |
| 1699862359 | Silbert Chiropractic Clinic PC | Chiropractor | 13700 Fort St, Southgate, MI 48195-1153 | 2006-10-06 |
| 1750326559 | Jennifer Anne Mcdannel | Chiropractor | 14164 Poplar St, Southgate, MI 48195-2518 | 2006-06-17 |
| Find all providers in SOUTHGATE | ||||
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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.