Nicole A Koci (NPI# 1235380627, PAC ID# 9931269461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235380627 |
| PAC ID by PECOS | 9931269461 |
| Professional Enrollment ID | I20081113000523 |
| Full Name | Nicole A Koci |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Address |
204 Mary Higginson Ln Uniontown PA 15401-2657 |
| Phone Number | 7244388300 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335046754 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 204 Mary Higginson Ln, Uniontown, PA 15401-2657 | 7244388300 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 81% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 81% |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Lynn Booth | Physician Assistant | Mountain State Medical Specialties, Pllc | 802 Wayne St, Suite 100, Marietta, OH 45750-3373 |
| Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
| Jeffrey B Jackson | Dermatology | Mountain State Medical Specialties, Pllc | 100 Seneca Rd, Elkins, WV 26241-9709 |
| Dominick Ryan Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 1664 E Pike St, Clarksburg, WV 26301-6011 |
| Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Street Address |
204 MARY HIGGINSON LN |
| City | UNIONTOWN |
| State | PA |
| Zip | 15401-2657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Dayna L Hrovath | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Mcaninch | Clinical Social Worker | Family Behavioral Resources, Inc. | 8 Oliver Rd Oliver Sq, Suite 116, Uniontown, PA 15401 |
| Patti Laskey | Nurse Practitioner | Family Behavioral Resources, Inc. | 8 Oliver Rd Oliver Sq, Suite 116, Uniontown, PA 15401 |
| Alysia Dawne Kirk | Clinical Social Worker | Family Behavioral Resources, Inc. | 8 Oliver Rd Oliver Sq, Suite 116, Uniontown, PA 15401 |
| Jacquelyn Albert | Clinical Social Worker | Family Behavioral Resources, Inc. | 8 Oliver Rd Oliver Sq, Uniontown, PA 15401 |
| Guy Galluzzo | Chiropractic | 1302 N Gallatin Ave Ext, Uniontown, PA 15401-2108 | |
| Brandy L Keener | Optometry | 1500 Mall Run Rd, Uniontown, PA 15401-2638 | |
| Myles Samuel Neiman | Optometry | 1616 Mall Run Rd, Uniontown, PA 15401-2640 | |
| Mukul B Patil | Urology | Tri County Urology Associates Inc. | 205 Mary Higginson Ln, Uniontown, PA 15401-2658 |
| Michele L Howard-diggs | Physician Assistant | Fayette Physician Network Inc | 201 Mary Higginson Ln, Uniontown, PA 15401-2658 |
| Rachel J Talaman-perez | Family Medicine | Fayette Physician Network Inc | 201 Mary Higginson Ln, Uniontown, PA 15401-2658 |
| Find all physicians in zip 15401 | |||
| City | UNIONTOWN |
| Zip Code | 15401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | UNIONTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole A Koci.
| 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.