MR. TIMOTHY ADAM KOEHLER (NPI# 1902058308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902058308 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ADAM KOEHLER |
| Credential | PA-C |
| Practice Address |
4450 Fayetteville Rd Raleigh NC 27603-3612 |
| Mailing Address |
100 S 10th St Lillington NC 27546-6690 |
| Practice Telephone | 9197723154 |
| Practice Fax Number | 9108939850 |
| Mailing Telephone | 9108934111 |
| Mailing Fax Number | 9108939850 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001001539 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856173 | Timothy James Koehler | Specialist/Technologist | 921 Prospect St, Belvidere, IL 61008-4570 | 2019-02-01 |
| 1871596684 | Timothy Michael Koehler | Family Medicine | 3730 N Ridge Rd, Ste 100, Wichita, KS 67205-1228 | 2005-05-24 |
| Street Address |
4450 FAYETTEVILLE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410139 | Elizabeth Laney | Nurse Practitioner | 4450 Fayetteville Rd, Raleigh, NC 27603-3612 | 2018-09-07 |
| 1194051870 | Boss Urgent Care Pllc | Clinic/Center | 4450 Fayetteville Rd, Raleigh, NC 27603-3612 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| 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 |
|---|---|---|---|---|
| 1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
| 1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
| 1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
| 1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
| 1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
| 1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
| 1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
| 1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
| Find all providers in RALEIGH | ||||
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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.