KOCH CHIROPRACTIC P.C. (NPI# 1770797003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770797003 |
| Entity Type | Organization |
| Organization Name | KOCH CHIROPRACTIC P.C. |
| Other Organization Name | NORTH ALLEGHENY HEALTH & WELLNESS CENTER |
| Practice Address |
11959 Perry Hwy Wexford PA 15090-8602 |
| Practice Telephone | 7249340001 |
| Practice Fax Number | 7249345599 |
| Mailing Telephone | 7249340001 |
| Mailing Fax Number | 7249345599 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GARY C. KOCH (PRESIDENT) |
| Authorized Official Telephone | 7249340001 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC004706L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 1592870 | 01 |
| Other Name | Type Code |
|---|---|
| North Allegheny Health & Wellness Center | Doing Business As Name - Organization |
| Street Address |
11959 PERRY HWY |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750446704 | Gary C Koch | Chiropractor | 11959 Perry Hwy, Wexford, PA 15090-8602 | 2006-12-27 |
| 1922367895 | North Allegheny Pain & Wellness Center PC | Anesthesiology | 11959 Perry Hwy, Wexford, PA 15090-8602 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| 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 |
|---|---|---|---|---|
| 1063054534 | Dr. Kim, Chiropractor LLC | Chiropractor | 119 Neely School Rd Ste 119, Wexford, PA 15090-7536 | 2019-10-16 |
| 1144786518 | Emily Ann Brady | Chiropractor | 10850 Perry Hwy, Wexford, PA 15090-9290 | 2019-02-11 |
| 1124598487 | Finn Chiropractic Wexford Pllc | Chiropractor | 100 Vip Dr Ste 105, Wexford, PA 15090-6928 | 2018-11-29 |
| 1972078210 | Alexandra Morando | Chiropractor | 1000 Brooktree Rd Ste 208, Wexford, PA 15090-9286 | 2018-10-12 |
| 1003323379 | Gg Group LLC Foundation Chiropractic | Chiropractor | 171a Church Rd, Wexford, PA 15090-8347 | 2018-01-08 |
| 1851814693 | Brooke Forringer | Chiropractor | 109 Gateway Ave Ste 101, Wexford, PA 15090-8471 | 2017-07-24 |
| 1346609567 | Dora Alyce Gentry Fogel | Chiropractor | 1001 Wexford Plaza Dr, Wexford, PA 15090-9214 | 2016-02-16 |
| 1700244183 | Geoffrey Guarino | Chiropractor | 171 Church Rd, Ste A, Wexford, PA 15090-8347 | 2016-02-01 |
| 1851770242 | Celtic Highlander LLC | Chiropractor | 12985 Perry Hwy, Wexford, PA 15090-7319 | 2015-05-19 |
| 1952714362 | Charles Jaicks | Chiropractor | 3000 Village Run Rd. Suite 106, Wexford, PA 15090 | 2014-06-04 |
| Find all providers in WEXFORD | ||||
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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.