Individual provider Active NPI

Pamela Sue Poch, CRNA

  • Certified Registered Nurse Anesthetist
  • Steubenville, OH
National Provider Identifier
1184742116
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.09362 Issued in OH
Practice address
4000 Johnson Rd
Steubenville, OH 43952-2300
Phone
(740) 264-8000
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.09362 OH Primary

Addresses

Primary practice location

4000 Johnson Rd
Steubenville, OH 43952-2300

Mailing address

2408 County Road 14
Rayland, OH 43943-7700
Phone (740) 859-7704

Other identifiers 1

IdentifierTypeStateIssuer
2785900MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070711000017 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961502661 Reassigns benefits to 1 organization
I20221028001279 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961502661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Hospital Holding CompanyGroup PAC ID 0244123834, 38 clinicians

Practice addresses (Care Compare)

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.09362OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2022 Accepting new patients
Trinity Hospital Holding Company CurrentSince Apr 26, 2007 Accepting new patients
Trinity Hospital Holding Company CurrentSince Apr 26, 2007 Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1184742116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 COUNTY ROAD 14",
            "city": "RAYLAND",
            "state": "OH",
            "postal_code": "439437700",
            "telephone_number": "740-859-7704",
            "fax_number": "740-859-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522300",
            "telephone_number": "740-264-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCH",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.09362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2785900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.

Verify at the official NPI Registry.