Kristopher Bosque (NPI# 1093257768, PAC ID# 6507143922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093257768 |
| PAC ID by PECOS | 6507143922 |
| Professional Enrollment ID | I20170511001598 |
| Full Name | Kristopher Bosque |
| Organization Legal Name | RESTON ANESTHESIA ASSOCIATES PC |
| Address |
1850 Town Ctr Pkwy Reston VA 20190-5205 |
| Phone Number | 7034710919 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2567361124 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490107 | RESTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6430 Rockledge Dr, Suite 160, Bethesda, MD 20817-1847 | 7034710919 | CAPITOL ANESTHESIA ASSOCIATES LTD |
| 1850 Town Ctr Pkwy, Reston, VA 20190-5205 | 7034710919 | RESTON ANESTHESIA ASSOCIATES PC |
| Organization Legal Name | RESTON ANESTHESIA ASSOCIATES PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik N Storm | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Sarah K Jungnitsch | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Barbara Pursell | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| John M Young | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Mirza Baig | Anesthesiology | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Jill B Sagonda-guerrero | Anesthesiology | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Amy M Murdock | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Mae J Barbera | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Charles P Dougherty | Anesthesiology | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| David L Nadler | Anesthesiology | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Street Address |
1850 TOWN CTR PKWY |
| City | RESTON |
| State | VA |
| Zip | 20190-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ardalan Enkeshafi | Internal Medicine | Emergency Medicine Associates Pa PC | 1850 Town Ctr Pkwy, Reston, VA 20190-3219 |
| Erik N Storm | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Sarah K Jungnitsch | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Andrew Harris Gordon | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Barbara Pursell | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| Matthew H Griffith | Orthopedic Surgery | Arthritis and Sports Orthopaedics PC | 1850 Town Ctr Pkwy, Reston, VA 20190-3219 |
| John M Young | Certified Registered Nurse Anesthetist (crna) | Reston Anesthesia Associates PC | 1850 Town Ctr Pkwy, Reston, VA 20190-5205 |
| James W Cleveland | Internal Medicine | 1850 Town Ctr Pkwy, Suite 314, Reston, VA 20190-3219 | |
| Dennis Wang | General Surgery | Synergy Surgicalists Inc | 1850 Town Ctr Pkwy, Suite 309, Reston, VA 20190-3219 |
| Quang Hong Nguyen | Interventional Radiology | Reston Radiology Consultants, PC | 1850 Town Ctr Pkwy, Reston, VA 20190-3219 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Hasseman | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 1860 Town Ctr Dr, Suite 440, Reston, VA 20190 |
| Dennis W Sager | Internal Medicine | 1800 Town Ctr Dr, Suite 313, Reston, VA 20190-3200 | |
| Christina M Barnett | Physician Assistant | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Melissa Guerra | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Kellyann Clark | Nurse Practitioner | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Payam Pooyan | Internal Medicine | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Valerie Jones | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Juan A Trinidad | General Practice | 1800 Town Ctr Dr, Suite 310, Reston, VA 20190-3215 | |
| Donald G Hope | Neurosurgery | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 | |
| Phoebe B Joseph | Nurse Practitioner | Privia Medical Group,llc | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 |
| Find all physicians in zip 20190 | |||
| City | RESTON |
| Zip Code | 20190 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | RESTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kristopher Bosque.
| 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.