Jonathan H Kopchick (NPI# 1710166137, PAC ID# 0941384143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1710166137 |
| PAC ID by PECOS | 0941384143 |
| Professional Enrollment ID | I20080227000125 |
| Full Name | Jonathan H Kopchick |
| Organization Legal Name | GBAA HOLDINGS PLLC |
| Address |
175 Worcester St Wellesley Hills MA 02481-5514 |
| Phone Number | 6177540800 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4789944646 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220101 | NEWTON-WELLESLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 680 Centre St, Brockton, MA 02302-3308 | 5089417642 | MATRIX ANESTHESIA PC |
| 2014 Washington St, Newton, MA 02462-1607 | 6172436298 | COMMONWEALTH ANESTHESIA ASSOCIATES, INC |
| 175 Worcester St, Wellesley Hills, MA 02481-5514 | 6177540800 | GBAA HOLDINGS PLLC |
| Organization Legal Name | GBAA HOLDINGS PLLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michaela J Hubbard | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Ellen M Davey | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Karen Brennan | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 120 W Ctr St, West Bridgewater, MA 02379-1600 |
| Marco Loi | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Shari D Lurie | Anesthesiology | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Timothy F Ayers | Anesthesiology | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Juliet M Liposky | Anesthesiology | Gbaa Holdings Pllc | 45 A Discovery Way, Acton, MA 01720-4482 |
| Catherine Wahl Woodward | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Barbara Quirk | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 45 A Discovery Way, Acton, MA 01720-4482 |
| Michael D Bender | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Street Address |
175 WORCESTER ST |
| City | WELLESLEY HILLS |
| State | MA |
| Zip | 02481-5514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen M Davey | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Michael D Bender | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Ary-lex Auguste | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Sarwat F Dimitri | Anesthesiology | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Glenn M Colassi | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 175 Worcester St, Wellesley Hills, MA 02481-5514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Hopper | Physical Therapy | 49 Walnut Park, Suite 5, Wellesley, MA 02481 | |
| Madeline C Krauss | Dermatology | 1 Washington Sreet, Suite 401, Wellesley, MA 02481 | |
| Hal D Cash | Psychiatry | 27 Mica Lane, Suite 205, Wellesley, MA 02481 | |
| Ronni L Michaelson | Psychologist, Clinical | 83 Elmwood Rd, Wellesley, MA 02481-1147 | |
| David M Soll | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Leslie Somohano | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Leonard J Sommer | Psychologist, Clinical | 1 Washington St, Suite 305, Wellesley Hills, MA 02481-1706 | |
| Douglas Jacobs | Psychiatry | 1 Washington St, Suite 302, Wellesley Hills, MA 02481-1706 | |
| Dean Levy | Psychologist, Clinical | 1 Washington St, Suite 305, Wellesley, MA 02481-1706 | |
| Lynn F Wittman | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Find all physicians in zip 02481 | |||
| City | WELLESLEY HILLS |
| Zip Code | 02481 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WELLESLEY HILLS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.