Raymond A Koch, MD | |
2826 Harris St, Eureka, CA 95503-4809 | |
(707) 443-8033 | |
(707) 268-3250 |
Full Name | Raymond A Koch |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2826 Harris St, Eureka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245268549 | NPI | - | NPPES |
00G297770 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G29777 (California) | Primary |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Raymond A Koch, MD 2826 Harris St, Eureka, CA 95503-4809 Ph: (707) 443-8033 | Raymond A Koch, MD 2826 Harris St, Eureka, CA 95503-4809 Ph: (707) 443-8033 |
Nathan M Shishido, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-443-8066 Fax: 707-268-3250 | |
Edward R Emmons, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-443-8066 Fax: 707-268-3250 | |
Daniel S Farnum, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-444-3118 | |
John Christopher Kurylo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-443-8066 Fax: 707-268-3251 | |
Williiam B. Kilgore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-443-8066 Fax: 707-268-3250 | |
Erik Mcgoldrick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2826 Harris St, Eureka, CA 95503 Phone: 707-443-8066 Fax: 707-268-3251 |