Matthew J Koch is a Nephrology in Belleville, Illinois. Matthew J Koch practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Matthew J Koch is 1962420448. The last update date is 2023-03-22.
Matthew J Koch's current location address is 4550 Memorial Dr Ste 280, Belleville, Illinois. You can contact this provider via phone number 6187673235. The mailing address for Matthew J Koch is 4550 Memorial Dr Ste 280, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Koch |
|---|---|
| Address | 4550 Memorial Dr Ste 280, Belleville, Illinois |
| Phone Number | 6187673235 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962420448 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2023-03-22 |
Provider Mailing Address Detail
| Address | 4550 Memorial Dr Ste 280 |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622265372 |
| Phone Number | 6187673235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 2002009358 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205799000 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew J Koch by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew J Koch has been assigned the NPI (National Provider Identifier) 1962420448. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Matthew J Koch?
The Matthew J Koch is situated at 4550 Memorial Dr Ste 280, in the city of Belleville, state of IL, with the zip code 622265372.
What is Matthew J Koch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew J Koch is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962420448 to Matthew J Koch?
The Matthew J Koch received its 1962420448 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details related to Matthew J Koch most recently updated or revised?
The information pertaining to Matthew J Koch, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-22.