Mark Koch, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

172619 Issued in OH

Practice address

3000 Mack Rd
Fairfield, OH 45014-5335

Phone

(513) 870-7000

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Services of Greater Dayton, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1407132830

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cgi Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
  • NPI 1174914352

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gi Anesthesia, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1730332610
  Medicare reassignment NPD
• Pain Evaluation & Management Center of Ohio, Inc.

  • Pain Medicine Physician
  • Centerville, OH
  • NPI 1811940182
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, OH

  Medicare reassignment NPD
• Fairfield Anesthesia Consultants Inc

  • Anesthesiology Physician
  • Fairfield, OH
  • NPI 1871775387
  NPD (past)
• Licking Memorial Professional Corporation

  dba Licking Memorial Anesthesiology

  • Anesthesiology Physician
  • Newark, OH
  • NPI 1376585430
  NPD (past)
• Millenium Anesthesia LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1659350494
  NPD (past)
• Perioperative Medical Consutants Inc

  • Anesthesiology Physician
  • Fairfield, OH
  • NPI 1124028162
  NPD (past)
• Queen City Anesthesiologists Inc

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1376536490
  NPD (past)
• Daniel L French PSC

  • Family Medicine Physician
  • Florence, KY
  • NPI 1255337952
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1326031337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463524",
            "telephone_number": "513-672-3309",
            "fax_number": "513-672-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-870-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "MARK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "172619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark M Kirkham, MD
• Brian Matthew Kirkpatrick, CDCA
• Rachel R Kissick, CDCA
• Gerald Kistler, RN
• Kimberly Knapp, LPC
• Rebecca S Koehl, M.D.
• Isabel Kohn
• Charles Robert Konkus, RPH
• Brett L Kopp, PHARMD
• Kenneth H Koster, MD

• Certified Registered Nurse Anesthetist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.