ROBERT EDWARD KOCH CRNA
NPI 1558333997
Nurse Anesthetist, Certified Registered in Carthage, MO

Active since February 01, 2006
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836(417) 359-2653(417) 358-4612 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About ROBERT KOCH

This page provides the complete NPI Profile along with additional information for Robert Koch, a provider established in Carthage, Missouri with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1558333997 assigned on February 2006. The practitioner's primary taxonomy code is 367500000X with license number 063623 (MO). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1558333997 Verify this NPI
Provider Name
ROBERT EDWARD KOCH CRNA
Gender
Male
Entity Type
Individual
Location Address
3125 DR RUSSELL SMITH WAY CARTHAGE, MO 64836
Location Phone
(417) 359-2653
Location Fax
(417) 358-4612
Mailing Address
10917 GUM RD CARTHAGE, MO 64836
Mailing Phone
(417) 237-0588
Mailing Fax
(417) 237-0588
Is Sole Proprietor?
No
Enumeration Date
02-01-2006
Last Update Date
02-18-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
063623
License State
MO
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P01158529OTHER (01)MORAIL ROAD MEDICARE
MA3832023MEDICARE PIN (08)MO 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Nurse Anesthetist, Certified Registered
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Psychiatric Unit
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
General Acute Care Hospital (Critical Access)
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Clinic/Center (Emergency Care)
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Emergency Medicine
3125 DR RUSSELL SMITH WAY, EMERGENCY DEPARTMENT
CARTHAGE, MO 64836
General Acute Care Hospital
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Home Health
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Ambulance
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Nurse Anesthetist, Certified Registered
3125 DR RUSSELL SMITH WAY, ANESTHESIA DEPT
CARTHAGE, MO 64836
General Acute Care Hospital
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Obstetrics & Gynecology
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Physician Assistant
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Physician Assistant
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Emergency Medicine
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Nurse Practitioner
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Nurse Practitioner (Acute Care)
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Nurse Practitioner (Adult Health)
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Dietitian, Registered
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Anesthesiology
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558333997, enumerated as an "individual" on February 01, 2006.

The provider is located at 3125 DR RUSSELL SMITH WAY CARTHAGE, MO 64836 and the phone number is (417) 359-2653.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.