Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Mark Koucheravy, CPED

Individual provider Pedorthist · NPI 1699245365

John Mark Koucheravy, CPED is a Pedorthist in Rockville, Maryland. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1643 Rockville Pike Unit B
Rockville, MD 20852-7601
Phone: (301) 811-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X

Record details

NPI number1699245365
Entity typeIndividual (Type 1)
GenderMale
Credentials CPED
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018