MR. BRUCE EVAN KOCH


Address: 5633 N Lidgerwood, Spokane, WA 99208
Phone: 5094820111

MR. BRUCE EVAN KOCH (NPI# 1336128180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336128180
Entity Type Individual
Full Name MR. BRUCE EVAN KOCH
Credential CRNA MSN
Practice Address 5633 N Lidgerwood
Spokane
WA 99208
Practice Telephone 5094820111
Mailing Telephone 5094820111
Enumeration Date 2006-01-11
Last Update Date 2009-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered AP30007302 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA STATE LICENSE RN00163452 01
WA STATE LICENSE AP30007302 01
CA RN3329700 05

Other Providers BRUCE KOCH

NPI Name Taxonomy Address Enumeration
1720031529 Bruce M Koch Optometrist 1110 Prairie St, Prairie Du Sac, WI 53578-2044 2006-05-19

Office Location

Street Address 5633 N LIDGERWOOD
City SPOKANE
State WA
Zip Code 99208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023097847 Lynn Bergman Emergency Medicine 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 2006-01-10
1215079991 Allan Marshall Physician Assistant 5633 N Lidgerwood, Spokane, WA 99208 2007-02-12
1528107562 Jason Heffernan Family Medicine 5633 N Lidgerwood, Holy Family Hospital, Spokane, WA 99208-0001 2007-02-06
1154400661 Steven Michael Wohrle Nurse Anesthetist, Certified Registered 5633 N Lidgerwood, Spokane, WA 99208 2006-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043787161 Bonnie Rose Spencer Social Worker E 44 Cozza, Spokane, WA 99208 2018-10-26
1235617515 Melissa Dawn Scholl Massage Therapist 906 E Country Hill Ct, Spokane, WA 99208 2018-07-30
1043706583 Healthy Schools Washington, Pllc Pediatrics 1028 West Rosewood Ave, Spokane, WA 99208 2018-07-09
1467943720 Simone Ferguson Student in an Organized Health Care Education/Training Program 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 2018-05-22
1912496035 Ascend Network Corp Counselor 3711 W Woodside, Spokane, WA 99208 2018-05-03
1023522216 Cherrywood Place-spokane, LLC Assisted Living Facility 100 East Dalke Ave, Spokane, WA 99208 2017-11-27
1881118792 Annie Kamau Registered Nurse 5920 W Lonewolf, Spokane, WA 99208 2017-08-01
1609303908 Jeffery Anthony Glinski Counselor 3754 W. Indian Trail Rd., Spokane, WA 99208 2017-05-17
1487186938 Mukhlis Azar Physical Therapy Assistant 305 E Sierra Ct, Spokane, WA 99208 2017-04-03
1154796241 Daisy O'dell Marriage & Family Therapist 515 W. Francis Ave., Suite #8, Spokane, WA 99208 2015-12-01
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598208399 Laura Painley Nurse Anesthetist, Certified Registered 101 W 8th Ave # Pmg, Spokane, WA 99204-2307 2016-11-28
1467854067 Sara Vangemert Nurse Anesthetist, Certified Registered 3302 E 71st Ave, Spokane, WA 99223-1907 2014-09-25
1386943371 Royter Anesthesia Inc. Nurse Anesthetist, Certified Registered 707 W 21st Ave, Spokane, WA 99203-1948 2011-03-16
1962642751 John J Fontana Nurse Anesthetist, Certified Registered 621 W 21st Ave, Spokane, WA 99203-1946 2009-03-06
1407999261 Elizabeth Mcbeath-bosch Nurse Anesthetist, Certified Registered 5633 N Lidergerwood, Spokane, WA 99208 2007-02-14
1720134323 Jacqueline Bates Nurse Anesthetist, Certified Registered W. 101 Eigth Avenue, Spokane, WA 99204 2007-01-26
1093861775 Michelle Trytko Nurse Anesthetist, Certified Registered 5633 N. Lidergerwood, Spokane, WA 99208 2007-01-26
1912073438 Jennifer S Havin Nurse Anesthetist, Certified Registered 6404 S Latah Hills Ct, Spokane, WA 99224-8530 2006-11-27
1003926304 Inland Anesthesia Service Ps Nurse Anesthetist, Certified Registered 535 S Pine St, Spokane, WA 99202-1347 2006-08-30
1073628251 Loren Lloyd Starr Nurse Anesthetist, Certified Registered 3143 E 29th Ave, Spokane, WA 99223 2006-08-20
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City SPOKANE
Zip Code 99208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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