Jason John Koch in Edina - Pediatrics

Jason John Koch - NPI 1902919798

Jason John Koch is a Pediatrics in Edina, Minnesota. Jason John Koch practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jason John Koch is 1902919798. The last update date is 2007-07-08.

Jason John Koch's current location address is 3955 Parklawn Ave, Edina, Minnesota. You can contact this provider via phone number 9528311944 and fax number 9522786947. The mailing address for Jason John Koch is 3955 Parklawn Ave, Edina, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason John Koch
Address 3955 Parklawn Ave, Edina, Minnesota
Phone Number 9528311944
Fax Number 9522786947
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1902919798
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3955 Parklawn Ave
City Edina
State Minnesota (MN)
Post Code 554355655
Phone Number 9528311944
Fax Number 9522786947

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 41959
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1201269 MN MEDICA
057R8KO MN BC/BS
FP9021027171 MN PREFERRED ONE

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FAQs about Jason John Koch

What is the unique 10-digit identifier code issued to Jason John Koch by the Centers for Medicare & Medicaid Services?

The Jason John Koch has been assigned the NPI (National Provider Identifier) 1902919798 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jason John Koch's facilities are geographically located?

The facilities of Jason John Koch are physically situated at the following location: 3955 Parklawn Ave, Edina, MN, 554355655.

What is Jason John Koch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jason John Koch is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

When did the Jason John Koch receive its 1902919798?

The Jason John Koch was issued its 1902919798 on 2006-08-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Jason John Koch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jason John Koch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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