Individual provider Active NPI

Mark P Koehler, CRNA

  • Certified Registered Nurse Anesthetist
  • Allison Park, PA
National Provider Identifier
1194962647
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN354911L Issued in PA
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

Updated by the provider on Feb 20, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20090302000113 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820154727 Reassigns benefits to 4 organizations

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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

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

LicenseStateTypeSpecialty
RN354911LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 9, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2020 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2020 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2020 Accepting new patients
Butler Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2009 Accepting new patients
Allegheny Clinic CurrentSince Jan 9, 2023 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.