Active NPI
Marie D. Koehler, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN506345L
- Practice address
- 3998 Red Lion Rd
Philadelphia, PA 19114-1436 - Phone
- (215) 612-4000
- Fax
- (215) 807-8235
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN506345L | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN 9360702 | FL |
Addresses
Primary practice location
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3056444 | Other | PA | AETNA CONTRACT |
| 9495005 | Other | PA | CIGNA |
| 430078471 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 SE 5TH Ave
Delray Beach, FL 33483-5212
Phone (954) 939-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9360702 | FL | MD | Certified Registered Nurse Anesthetist |
| RN506345L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients | |
| MRI Physician Associates, PC | Past | Accepting new patients | |
| Clearwater Pain Management Associates | Past | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Past | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Liberty Anesthesia Associates, P. C. | Past | Accepting new patients |
Locations
501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400
4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305
555 SE 5th Ave
Delray Beach, FL 33483
Phone (561) 319-0751
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
16853 NE 2nd Ave
Ste 400
North Miami Beach, FL 33162
Phone (305) 652-2999
5301 N Dixie Hwy
Ste 100
Oakland Park, FL 33334
Phone (954) 771-3334
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
-
- Anesthesiology Physician
- Delray Beach, FL
- NPI 1033634464
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1609831890
-
- Specialist
- Coatesville, PA
- NPI 1972509792
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1366501637
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1164440376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-612-4000",
"fax_number": "215-807-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "MARIE",
"middle_name": "D.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN506345L",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN 9360702",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CONTRACT",
"identifier": "3056444",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9495005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430078471",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.