Active NPI
Resource Anesthesiology Associates of in LLC
- Anesthesiology Physician
- Connersville, IN
National Provider Identifier
1205273554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- RESOURCE ANESTHESIOLOGY ASSOCIATES OF IN LLC
- Practice address
- 1941 Virginia Ave
Connersville, IN 47331-2833 - Phone
- (914) 637-3510
- NPI assigned
- May 28, 2013
- Last updated
- Apr 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc E Koch, MD
- Title
- President
- Phone
- (914) 637-3510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1941 Virginia Ave
Connersville, IN 47331-2833
Mailing address
450 Mamaroneck Ave Ste 201
Harrison, NY 10528-2436
Phone (914) 637-3510
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554249600000",
"number": "1205273554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MAMARONECK AVE STE 201",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282436",
"telephone_number": "914-637-3510",
"fax_number": "914-365-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 VIRGINIA AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312833",
"telephone_number": "914-637-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOURCE ANESTHESIOLOGY ASSOCIATES OF IN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-28",
"last_updated": "2019-04-03",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-637-3510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.