Active NPI
Robert Ellis Noecker, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
National Provider Identifier
1770575813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN206769L
- Practice address
- 3147 College Heights Blvd
Allentown, PA 18104-4813 - Phone
- (610) 841-2432
- Fax
- (610) 841-4433
- NPI assigned
- Aug 16, 2005
- Last updated
- Oct 17, 2007
- 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 | RN206769L | PA | Primary |
Addresses
Primary practice location
3147 College Heights Blvd
Allentown, PA 18104-4813
Mailing address
1724 Greenwood Rd
Allentown, PA 18103-2902
Phone (610) 360-6975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN206769L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Oral Surgery Associates P.C. | Past | Accepting new patients | |
| Avicenna Physician Services Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Allentown, PA
- NPI 1760449425
-
dba Avicenna Direct Care
- Internal Medicine Physician
- Allentown, PA
- NPI 1801499850
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- 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.