MEDICARE: JOHANNES KOCH 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	207RG0100X	Gastroenterology Physician	7971790	ID
2	207RG0100X	Gastroenterology Physician	MD00039369	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00958035	OTHER	WA	RAILROAD MEDICARE

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
3	0271929	OTHER	WA	DEPT OF LABOR AND INDUSTRY

General Provider Information

NPI Number	:	1396716148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNES KOCH MD

Provider Business Mailing Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-515-5811
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-223-2319
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	06/18/2026

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Directions to “ JOHANNES KOCH MD” Practice Location

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