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MAYA ITZA KOEHLER MD NPI 1144751256


NPI Information

NPI: 1144751256
Provider Name: MAYA ITZA KOEHLER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926
Phone: (509) 962-1414
Get Directions

Maya Itza Koehler, MD is a family medicine in Ellensburg, WA with 7 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Maya Itza Koehler, MD NPI is 1144751256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2017

The provider's business location address is:

521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926-865
Phone: (509) 962-1414
Fax: (509) 452-5224

The NPI 1144751256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine12158SOUTH DAKOTANo
2207Q00000XFamily Medicine036154635ILLINOISNo
3207Q00000XFamily MedicineMD203985OREGONNo
4207Q00000XFamily MedicineMD61335254WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12221896MEDICAIDWASHINGTON
20460399OTHERWASHINGTONLABOR AND INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.