Stacy A Koch (NPI# 1104291798, PAC ID# 4082961115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1104291798 |
| PAC ID by PECOS | 4082961115 |
| Professional Enrollment ID | I20180720001677 |
| Full Name | Stacy A Koch |
| Organization Legal Name | PARKSIDE MEDICAL ANESTHESIA ASSOCIATES |
| Address |
2157 Main St Buffalo NY 14214-2648 |
| Phone Number | 7168367510 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7517854631 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2157 Main St, Buffalo, NY 14214-2648 | 7168367510 | PARKSIDE MEDICAL ANESTHESIA ASSOCIATES |
| Organization Legal Name | PARKSIDE MEDICAL ANESTHESIA ASSOCIATES |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Cilnyk | Anesthesiology | Parkside Medical Anesthesia Associates | 1263 Delaware Ave, Buffalo, NY 14209-2402 |
| Jillian L Kent | Anesthesiology | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Alyssa H Miller | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Carol L Adornetto | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Andrew D Little | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Deixy M Nasrin | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Marie-lourdes L Bringhurst | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Paul B Karas | Anesthesiology | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Bhaskar Gopalakrishnan | Anesthesiology | Parkside Medical Anesthesia Associates | 1263 Delaware Ave, Buffalo, NY 14209-2402 |
| Justin M Mullaney | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Street Address |
2157 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip | 14214-2648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azima Rasiwala | Internal Medicine | Buffalo Emergency Associates LLP | 2157 Main St, Buffalo, NY 14214-2648 |
| Jillian L Kent | Anesthesiology | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Erin B Middler | Physician Assistant | Sisters of Charity Hospital of Buffalo New York | 2157 Main St, Buffalo, NY 14214-2648 |
| Nathan Howard Dossey | Nurse Practitioner | Buffalo Emergency Associates LLP | 2157 Main St, Buffalo, NY 14214-2648 |
| Andrew Joseph Bojanowski | Physician Assistant | Sra Medical Imaging LLC | 2157 Main St, Buffalo, NY 14214-2648 |
| Alyssa H Miller | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Carol L Adornetto | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Andrew D Little | Certified Registered Nurse Anesthetist (crna) | Parkside Medical Anesthesia Associates | 2157 Main St, Buffalo, NY 14214-2648 |
| Rachel Elizabeth Ripellino | Physician Assistant | Sisters of Charity Hospital of Buffalo New York | 2157 Main St, Buffalo, NY 14214-2648 |
| Travis Mastroianni | Diagnostic Radiology | Sra Medical Imaging LLC | 2157 Main St, Buffalo, NY 14214-2648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita S Joshi | Physical Therapy | 3101 Main St, Buffalo, NY 14214-1305 | |
| Dwight D Lewis | Internal Medicine | 3125 Main St, Buffalo, NY 14214-1305 | |
| Matthew A Jost | Clinical Social Worker | 55 Huntington Ave, Buffalo, NY 14214-1648 | |
| Tammy A Harcleroad | Nurse Practitioner | Planned Parenthood of Central and Western New York Inc | 2697 Main St, Buffalo, NY 14214-1701 |
| Juliana K Moshier | Physician Assistant | Planned Parenthood of Central and Western New York Inc | 2697 Main St, Buffalo, NY 14214-1701 |
| Angela R Ehlinger | Nurse Practitioner | Planned Parenthood of Central and Western New York Inc | 2697 Main St, Buffalo, NY 14214-1701 |
| Kimberly A Steck | Nurse Practitioner | Planned Parenthood of Central and Western New York Inc | 2697 Main St, Buffalo, NY 14214-1701 |
| Thomas M Frank | Chiropractic | 2900 Main St, Buffalo, NY 14214-1718 | |
| Laura J Vondoenhoff | Diagnostic Radiology | Diagnostic X-ray Service Inc | 2828 Main St, Buffalo, NY 14214-1722 |
| David A Paul | Diagnostic Radiology | Diagnostic X-ray Service Inc | 2828 Main St, Buffalo, NY 14214-1722 |
| Find all physicians in zip 14214 | |||
| City | BUFFALO |
| Zip Code | 14214 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BUFFALO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Stacy A Koch.
| 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.