| Mark Koch, RN | |
|
3000 Mack Rd, Fairfield, OH 45014-5335 | |
| (513) 870-7000 | |
| Not Available |
| Full Name | Mark Koch |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 40 Years |
| Location | 3000 Mack Rd, Fairfield, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326031337 | NPI | - | NPPES |
| 0765435 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 172619 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gi Anesthesia, Llc | 6002971553 | 9 |
| Entity Name | Pain Evaluation & Management Center Of Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940182 PECOS PAC ID: 2365475480 Enrollment ID: O20050918000012 |
| Entity Name | Gi Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730332610 PECOS PAC ID: 6002971553 Enrollment ID: O20090217000157 |
| Entity Name | Anesthesia Services Of Greater Dayton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407132830 PECOS PAC ID: 1658520747 Enrollment ID: O20121004000714 |
| Entity Name | Cgi Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174914352 PECOS PAC ID: 0840518411 Enrollment ID: O20150410000268 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Koch, RN 11490 Springfield Pike, Cincinnati, OH 45246-3524 Ph: (513) 672-3309 | Mark Koch, RN 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 870-7000 |
Gerald Kistler, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Rita Thomas, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Janie M Mcelwain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Rogers Tuwei, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000 | |
Jerome James, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323 | |
Tendai M Manyau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3300 |