Erik K Kooba (NPI# 1477503167, PAC ID# 3173582541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1477503167 |
PAC ID by PECOS | 3173582541 |
Professional Enrollment ID | I20041013001293 |
Full Name | Erik K Kooba |
Organization Legal Name | ANESTHESIA PAIN SERVICES LLC |
Address |
1008 N Main St Bloomington IL 61701-1784 |
Phone Number | 3098295311 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
Graduation Year | 1993 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 6507930526 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140166 | ST MARYS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1008 N Main St, Bloomington, IL 61701-1784 | 3098295311 | ANESTHESIA PAIN SERVICES LLC |
503 N Maple St, Effingham, IL 62401-2006 | 2173422121 | CENTRAL ILLINOIS ASSOCIATES LTD |
Organization Legal Name | ANESTHESIA PAIN SERVICES LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dionne C Okafor | Anesthesiology | Anesthesia Pain Services LLC | 646 W Pershing Rd, Decatur, IL 62526-1633 |
Street Address |
1008 N MAIN ST |
City | BLOOMINGTON |
State | IL |
Zip | 61701-1784 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan Edward Hazlehurst | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
Erica L Wilson | Nurse Practitioner | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
Giuseppe Galati | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
Matthew A Lavalle | Anesthesiology | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
Kristain D Carroll | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
Lee T Hammon | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
Briana L Thompson | Nurse Practitioner | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5044 |
Michael D Barnum | Emergency Medicine | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
George Katsantonis | Otolaryngology | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5099 |
Lauren Denise Blackwelder | Emergency Medicine | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5044 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Find all physicians in zip 61701 |
City | BLOOMINGTON |
Zip Code | 61701 |
Specialty | ANESTHESIOLOGY |
City + Specialty | BLOOMINGTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Erik K Kooba.
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.