Kevin G. Koth is a Breese, Illinois based male orthopedic surgeon with 16 years of experience in Orthopedic Surgery. He completed his graduation from Ohio University, College Of Osteopathic Medicine in 2008. He is also affiliated with hospitals like Jersey Community Hospital and Salem Township Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin G. Koth is 036132543 for Orthopedic Surgery in Illinois.
Kevin G. Koth is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Kevin G. Koth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8123274917
Enrollment ID:
I20130813000526
NPI Number:
1972798049
NPI Enumeration Date:
11 Sep, 2007
NPI Last Update On:
13 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin G. Koth are as mentioned below.
License Number
Specialization
State
Status
036132543
Orthopedic Surgery
Illinois
Primary
03476
Orthopedic Surgery
Kentucky
Secondary
02003992A
Orthopedic Surgery
Indiana
Secondary
03476
Orthopaedic Surgery of the Spine
Kentucky
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Jersey Community Hospital (140059)
Jerseyville, IL
Acute Care Hospital
Salem Township Hospital (141345)
Salem, IL
Critical Access Hospital
St Josephs Hospital (140145)
Breese, IL
Acute Care Hospital
Hshs Holy Family Hospital Inc(140137)
Greenville, IL
Acute Care Hospital
St Joseph's Hospital (141336)
Highland, IL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kevin G. Koth is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Jersey Community Hospital (4587650445)
50
K And L Medical Llc (3476967522)
2
Salem Township Hospital (0840195277)
29
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin G. Koth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100213750
Medicaid
Kentucky
036-132543
Medicaid
Illinois
201114320A
Medicaid
Indiana
000000777934
Other
Kentucky
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 160, Troy, Illinois
Zip:
62294-0160
Phone Number:
618-900-1070
Fax Number:
833-992-2437
Patients can reach Kevin G. Koth at 9515 Holy Cross Ln Ste 2, Breese, Illinois or can call to book an appointment on 618-900-1070. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.