REBEKAH KOCH, M.D., PLLC (NPI# 1770849184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770849184 |
| Entity Type | Organization |
| Organization Name | REBEKAH KOCH, M.D., PLLC |
| Other Organization Name | TALL PINES FAMILY CLINIC |
| Practice Address |
1105 W Frank Ave Suite 280 Lufkin TX 75904-3303 |
| Practice Telephone | 9366394393 |
| Practice Fax Number | 9366390877 |
| Mailing Telephone | 9366394393 |
| Mailing Fax Number | 9366390877 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | REBEKAH W KOCH (PRESIDENT) |
| Authorized Official Telephone | 9366394393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
P1888 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tall Pines Family Clinic | Doing Business As Name - Organization |
| Street Address |
1105 W FRANK AVE SUITE 280 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154399871 | Jennifer Lynn Kalmer | Physical Medicine & Rehabilitation | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-03-09 |
| 1205198561 | Rachael Elizabeth Sullivan | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2012-06-13 |
| 1841514445 | C Doyle Haynes Md Pa | General Practice | 1105 W Frank Ave, Ste 290, Lufkin, TX 75904-3303 | 2010-03-25 |
| 1417119603 | Rebekah W Koch | Psychiatry & Neurology | 1105 W Frank Ave, Ste 280, Lufkin, TX 75904-3303 | 2008-06-28 |
| 1568623155 | Basem Ramzi Shabb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2008-06-17 |
| 1952599037 | Carolyn Marie Moyers | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2007-10-14 |
| 1144427261 | Dixie Ann Mcclendon-coker | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 110, Lufkin, TX 75904-3303 | 2007-07-02 |
| 1407946205 | Jerry H. Jenkins, M.d., P.a. | Family Medicine | 1105 W Frank Ave, Suite 290, Lufkin, TX 75904-3303 | 2006-10-13 |
| 1255437893 | Robert M Standerford | Physician Assistant | 1105 W Frank Ave, Ste. 290, Lufkin, TX 75904-3303 | 2006-09-14 |
| 1093764284 | David A Ladden | Internal Medicine | 1105 W Frank Ave, Suite 210, Lufkin, TX 75904-3303 | 2006-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396792420 | Burke Center | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2006-05-26 |
| 1417247412 | Racquel Elisa Reid | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2011-04-11 |
| 1467696591 | Deana Gelan Abdel-reheim | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2009-04-20 |
| 1417119603 | Rebekah W Koch | Psychiatry & Neurology | 1105 W Frank Ave, Ste 280, Lufkin, TX 75904-3303 | 2008-06-28 |
| 1497813224 | John Mark Janes | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2006-12-05 |
| 1487712212 | David Lynn Larned | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2006-12-05 |
| 1962560714 | John Pack | Psychiatry & Neurology | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2006-12-05 |
| 1679587182 | Teresa A. Timmons | Psychiatry & Neurology | 2206 N John Redditt Dr, Lufkin, TX 75904-1776 | 2006-07-28 |
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|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
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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.