Robert Edward Koch, CRNA | |
3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | |
(417) 359-2653 | |
(417) 358-4612 |
Full Name | Robert Edward Koch |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3125 Dr Russell Smith Way, Carthage, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558333997 | NPI | - | NPPES |
P01158529 | Other | MO | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 063623 (Missouri) | Primary |
Entity Name | Anesthesia Associates Of Kansas City Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
Entity Name | Mercy Hospital Carthage |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Entity Name | Northstar Anesthesia Of Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
Mailing Address | Practice Location Address |
---|---|
Robert Edward Koch, CRNA 10917 Gum Rd, Carthage, MO 64836-9529 Ph: (417) 237-0588 | Robert Edward Koch, CRNA 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 Ph: (417) 359-2653 |
Edward Dean Messer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-359-2653 Fax: 417-358-4612 | |
Donald Edward Beissel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 627 West Centennial, Carthage, MO 64836 Phone: 417-358-8121 Fax: 417-237-7240 | |
Aaron M. Petersen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836 Phone: 417-358-8121 Fax: 417-237-7240 |