KO ANESTHESIA LLC (NPI# 1316974462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316974462 |
| Entity Type | Organization |
| Organization Name | KO ANESTHESIA LLC |
| Other Organization Name | KO ANESTHESIA LLC |
| Practice Address |
1318 Eisenhower Blvd Johnstown PA 15904 |
| Practice Telephone | 8142665795 |
| Practice Fax Number | 8144678550 |
| Mailing Telephone | 8142665795 |
| Mailing Fax Number | 8144678550 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. DONNA J DATKO (PHYSICIAN) |
| Authorized Official Telephone | 8142665795 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OS008866L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 990317 | 01 |
| PA | 001739044 | 05 |
| Other Name | Type Code |
|---|---|
| KO Anesthesia LLC | Former Legal Business Name - Organization |
| Street Address |
1318 EISENHOWER BLVD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849427 | Main Street Asc LLC | Clinic/Center | 1318 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2006-05-17 |
| 1588069884 | Ophthalmic Associates | Anesthesiology | 1318 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2014-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1245321702 | Bernard Patrick Mcquillan | Specialist | 1221 Scalp Avenue, Johnstown, PA 15904 | 2006-09-27 |
| 1932140936 | Robert Link Rundorff | Specialist | 16 Rose St, Johnstown, PA 15905-4327 | 2006-06-09 |
| 1073581641 | Richard C Leib Jr | Specialist | 350 Southmont Blvd, Johnstown, PA 15905-2818 | 2006-03-09 |
| 1891776274 | Babak Mirin | Specialist | 4770 Larimer Pkwy # 80534, Johnstown, CO 80534-8912 | 2005-11-11 |
| 1992704548 | Ralph Tabib | Specialist | 1145 1/2 Franklin St, Johnstown, PA 15905-4309 | 2005-07-17 |
| 1184253551 | Alyssa Erin Coppola | Specialist | 93 E Main St, Johnstown, NY 12095-2628 | 2020-04-07 |
| 1164074639 | Hannah N Novak | Specialist | 1015 Franklin St Fl D, Johnstown, PA 15905-4155 | 2019-07-15 |
| 1891244679 | Universal Medical Administration Services | Specialist | 1405 Eisenhower Blvd, Johnstown, PA 15904-3222 | 2016-09-22 |
| 1184986606 | Jennifer Lynn Pomeroy | Specialist | 2-8 W Main St, Johnstown, NY 12095-2308 | 2012-06-11 |
| Find all providers in JOHNSTOWN | ||||
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| 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.