Active NPI
Theodore S Moche, CRNA
- Certified Registered Nurse Anesthetist
- Exeter, NH
National Provider Identifier
1972875540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 065615-23
- Practice address
- 5 Alumni Dr
Core Anesthesia
Exeter, NH 03833-2128 - Phone
- (603) 580-6624
- Fax
- (603) 580-6620
- NPI assigned
- Jan 30, 2012
- 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 | 065615-23 | NH | Primary |
Addresses
Primary practice location
5 Alumni Dr
Core Anesthesia
Exeter, NH 03833-2128
Mailing address
PO Box 655
Exeter, NH 03833-0655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Coliseum Ave
Suite 7
Nashua, NH 03063-3206
Phone (603) 689-9242
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Surgery Center of Nashua, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novamed Surgery Center of Nashua, LLC | Current | Accepting new patients |
Locations
867705 Reliable Pkwy
Chicago, IL 60686
5 Coliseum Ave
Nashua, NH 03063
Phone (603) 881-7141
5 Coliseum Ave
Ste 7
Nashua, NH 03063
Phone (603) 689-9242
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Nashua, NH
- NPI 1902804057
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Nashua, NH
- NPI 1871591248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1972875540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "EXETER",
"state": "NH",
"postal_code": "038330655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ALUMNI DR",
"address_2": "CORE ANESTHESIA",
"city": "EXETER",
"state": "NH",
"postal_code": "038332128",
"telephone_number": "603-580-6624",
"fax_number": "603-580-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCHE",
"first_name": "THEODORE",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "065615-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.