Robert Ellis Noecker, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN206769L Issued in PA

Practice address

3147 College Heights Blvd
Allentown, PA 18104-4813

Phone

(610) 841-2432

Fax

(610) 841-4433

NPI assigned

Aug 16, 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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allen Oral Surgery Associates P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Allentown, PA
  • NPI 1760449425
  NPD (past)
• Avicenna Physician Services Inc

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1801499850
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1770575813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 GREENWOOD RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181032902",
            "telephone_number": "610-360-6975",
            "fax_number": "610-841-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 COLLEGE HEIGHTS BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044813",
            "telephone_number": "610-841-2432",
            "fax_number": "610-841-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOECKER",
        "first_name": "ROBERT",
        "middle_name": "ELLIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN206769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "753047838002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "N0566906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00223408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20038940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel C Ninos, MPT
• Supriya Niraula, MD
• Ioana Nistor, MD
• NJ Certified Dermatology PC
• Julio Noboa, BS
• Bianca Noel
• Elizabeth Mintzer Nolan, PH.D.
• Megan Nolter, PA-C
• Meghann Noonan, CRNP
• Nabila Noor, MD

• Certified Registered Nurse Anesthetist in Allentown, PA
• Providers in Allentown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.