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
Mailing address1621 Quail Run, Charlottesville, VA 22911-9054