Matthew Lamar McCoucha, CRNA NURSE ASSISTANT

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9296655 Issued in FL

Practice address

Naval Hospital Great Lakes, 3001 a 6TH Street
Great Lakes, IL 60088

Phone

(847) 688-3450

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Certified 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.

• BMR Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1619444502

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesiologists Associated PC

  dba SAM Critical Response Service

  • Critical Care Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1396353280
  NPD
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1851371850

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1902872062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PARKWAY",
            "address_2": "ANDREWS INSTITUTE FOR ORTHOPAEDICS & SPORTS MEDICINE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-916-8700",
            "fax_number": "850-916-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL GREAT LAKES, 3001 A 6TH STREET",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOUCHA",
        "first_name": "MATTHEW",
        "middle_name": "LAMAR",
        "credential": "CRNA NURSE ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024140275",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9296655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Pineda Manansala, INDEPENDENT DUTY HM
• Herchel Mangune, PTA
• Ruby Martinez
• Elaine Keefer May, PSY.D.
• Latosha Monique Mayes, PHARM.D.
• Shirley Walley McCullough, MSW
• Michael Edward McGarry, MD
• John Leo McGinley, D.D.S.
• Eugene Robinson McNinch Jr., M.D.
• Bradley A Meer, D.D.S

• Certified Registered Nurse Anesthetist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.