Active NPI
Mark P Koehler, CRNA
- Certified Registered Nurse Anesthetist
- Allison Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN354911L
- Practice address
- 4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424 - Phone
- (412) 492-0800
- Fax
- (412) 492-4057
- NPI assigned
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN354911L | PA | Primary |
Addresses
Primary practice location
4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424
Mailing address
4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424
Phone (412) 492-0800
Other practice location 1
631 N Broad Street Ext
Grove City, PA 16127-4603
Phone (724) 458-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
631 N Broad St Ext
Allegheny General Anesthesia
Grove City, PA 16127-4603
Phone (724) 450-7119
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN354911L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Latrobe Anesthesia Associates, Inc | Past | Accepting new patients |
Locations
4485 William Flynn Hwy
Ste 3
Allison Park, PA 15101
Phone (412) 492-0800
1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800
127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550
24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
200 State St
Erie, PA 16507
Phone (814) 453-3900
631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000
1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Anesthesiology Physician
- Butler, PA
- NPI 1154350981
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Butler, PA
- NPI 1619493046
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1558310326
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Clinical Cardiac Electrophysiology Physician
- Butler, PA
- NPI 1851657548
-
- Anesthesiology Physician
- Latrobe, PA
- NPI 1760488902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, PA
- NPI 1023000296
-
- General Acute Care Hospital
- Wexford, PA
- NPI 1588269898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1194962647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 WILLIAM FLYNN HWY",
"address_2": "SUITE 3",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151011424",
"telephone_number": "412-492-0800",
"fax_number": "412-492-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 WILLIAM FLYNN HWY",
"address_2": "SUITE 3",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151011424",
"telephone_number": "412-492-0800",
"fax_number": "412-492-4057"
}
],
"practiceLocations": [
{
"address_1": "631 N Broad Street Ext",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "PA",
"postal_code": "161274603",
"country_code": "US",
"telephone_number": "724-458-5442",
"fax_number": "724-450-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOEHLER",
"first_name": "MARK",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN354911L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allison Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.