Provider Type Icon

MR. BRUCE EVAN KOCH CRNA MSN NPI 1336128180


NPI Information

NPI: 1336128180
Provider Name: MR. BRUCE EVAN KOCH, CRNA MSN
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
5633 N LIDGERWOOD
SPOKANE, WA
ZIP 99208
Phone: (509) 482-0111
Get Directions

MR. Bruce Evan Koch, CRNA MSN is a nurse anesthetist certified registered in Spokane, WA with 37 years of experience. The provider is (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. MR. Bruce Evan Koch, CRNA MSN NPI is 1336128180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5633 N LIDGERWOOD
SPOKANE, WA
ZIP 99208
Phone: (509) 482-0111

The enumeration date for this NPI number is 1/11/2006 and was last updated on 5/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredAP30007302WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RN00163452OTHERWASHINGTONSTATE LICENSE
2R38117MEDICARE UPINCALIFORNIA
3NA1289MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4AP30007302OTHERWASHINGTONSTATE LICENSE
5RN3329700MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.