Marian Antonette Cochiaosue-Avery
Individual provider Active NPI Certified Registered Nurse Anesthetist · Louisville, KY
NPI 1013427574 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1013427574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3011949 (KY)
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-1735
- Fax
- (502) 852-6056
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology Consultants Enterprises PLLC
Professional Anesthesia Services of Kentucky PLLC
Universal Anesthesia Services LLC
Practice addresses (Care Compare)
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
Hospital & facility affiliations
- Baptist Health Louisville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180124002176 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870852643 | Reassigns benefits to 5 organizations |
| I20230207000597 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870852643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011949 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Universal Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sleepers Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
3423 Solutions Ctr
Chicago, IL 60677
7752 Solution Ctr
Chicago, IL 60677
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3011949 | KY | Yes |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other practice location 1
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100518630 | Medicaid | KY | |
| 300010027 | Medicaid | IN |
Other providers in Louisville, KY
- Mahoney E Cobb
- Vickie Cobble-Forehand
- Damon Cobble
- Anna Coble
- Tricia Lynn Cobler
- Andrea Cochran
- Sara Beth Cochran
- Sonal Cochran
- Sydnie Cochran
- Vicki Gail Cochran
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.