Michael G Koelsch
Cardiothoracic Vascular Surgeon
208 Corwin Lane
Kokomo
, Indiana 46902-6612
Michael G Koelsch
Cardiothoracic Vascular Surgeon
208 Corwin Lane
Kokomo
, Indiana 46902-6612
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Michael G Koelsch
- 6626 E 75th St Suite 500
- Indianapolis, IN
- Zip : 46250-2890
- Phone :
Second Address
- Michael G Koelsch
- 208 Corwin Lane
- Kokomo, IN
- Zip : 46902-6612
- Phone : (765) 453-8567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01049321A | IN |
National Provider Identifier
| NPI | 1053336297 |
|---|---|
| Provider Name | Michael G Koelsch |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Kokomo, IN 46902-6612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 01/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000083152 | BCBS PIN (01) | |
| 200251540A | (05) | IN |
| 770002492 | RAILROAD MEDICARE PIN (01) | |
| G77355 | (02) | |
| P01270947 | RR MEDICARE (01) | IN |
| P01347724 | MEDICARE RR PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.