DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1770531444

NPI Code Detail

MEDICARE: THERESA R KOESTER MD

MEDICARE: THERESA R KOESTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	27960	KY
2	174400000X	Specialist	27960	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000479137	OTHER		ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	310674100	OTHER		FEDERAL BLACK LUNG
5	4296182	OTHER		AETNA
6	50013712	OTHER		PASSPORT

General Provider Information

NPI Number	:	1770531444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA R KOESTER MD

Provider Business Mailing Address
First Line	:	2900 CHANCELLOR DR
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5427
Country	:	US
Telephone Number	:	859-363-2142
Fax Number	:	859-363-2140

Provider Business Practice Location Address
First Line	:	2900 CHANCELLOR DR
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5427
Country	:	US
Telephone Number	:	859-363-2142
Fax Number	:	859-363-2140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/25/2009

Similar Medicare Providers

1871598664 — DR. JOHN JAMES LARKIN MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 513-354-3700
Practice Fax: 859-905-1039

1700878162 — CHRISTOPHER A HEEB MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-341-7482

1811989288 — TERRY A MCDANNOLD MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-363-2140

1518959865 — THOMAS O'CONNELL MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-344-7482

1982664264 — MARK STEPHEN MEIER MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-341-7482

1881642734 — DR. ANGELO J COLOSIMO M.D.
Practice Location Address:

2900 CHANCELLOR DR STE 102
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 513-354-3700
Practice Fax:

Directions to “ THERESA R KOESTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.