Organization Active NPI

Michael R. Rochin Crna Ms

  • Certified Registered Nurse Anesthetist
  • San Angelo, TX
National Provider Identifier
1043334188
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
538940 Issued in TX
Legal business name
MICHAEL R. ROCHIN CRNA MS
Practice address
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone
(325) 947-6616
Fax
(325) 692-6030
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Rochin, CRNANPI 1215041330
Title
Chief Crna
Phone
(325) 947-6616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 538940 TX Primary

Addresses

Primary practice location

3501 Knickerbocker Rd
San Angelo, TX 76904-7610

Mailing address

3520 Knickerbocker Rd
Suite B #313
San Angelo, TX 76904-7611
Phone (325) 947-6616

Other identifiers 2

IdentifierTypeStateIssuer
1634065-01MedicaidTX
0012LCOtherTXBLUE CROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

3520 Knickerbocker Rd
Ste B
San Angelo, TX 76904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1043334188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 KNICKERBOCKER RD",
            "address_2": "SUITE B #313",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047611",
            "telephone_number": "325-947-6616",
            "fax_number": "325-692-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047610",
            "telephone_number": "325-947-6616",
            "fax_number": "325-692-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. ROCHIN CRNA MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ROCHIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF CRNA",
        "authorized_official_telephone_number": "325-947-6616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "538940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1634065-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "0012LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.