Organization
MICHAEL P KOELSCH MD
Active
Organization
MICHAEL P KOELSCH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU KOELSCH (OFFICE MANAGER)
(208) 587-5880
Entity
Organization
Contact information
Practice address
805 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-5880
(208) 587-7905
Mailing address
PO BOX 940, MOUNTAIN HOME, ID 83647-0940
(208) 587-5880
(208) 587-7905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3819
ID
363LF0000X
Family Nurse Practitioner
NP382A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805234300
—
ID
01
—
8H732
BLUE CROSS GROUP
ID
Enumeration date
03/15/2007
Last updated
09/20/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up