Organization Active NPI

Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Iron Mountain, MI
National Provider Identifier
1043480031
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5101008053 Issued in MI
Legal business name
ANESTHESIA ASSOCIATES, P.C.
Practice address
1301 Carpenter Ave
Iron Mountain, MI 49801-4725
Phone
(906) 774-1404
NPI assigned
Mar 5, 2008
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Gust Koski, D.O.
Title
President
Phone
(906) 265-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 5101008053 MI Primary

Addresses

Primary practice location

1301 Carpenter Ave
Iron Mountain, MI 49801-4725

Mailing address

PO Box 370
Iron Mountain, MI 49801-0370
Phone (906) 265-4019

Other identifiers 1

IdentifierTypeStateIssuer
050B210034OtherMIBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1043480031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010370",
            "telephone_number": "906-265-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARPENTER AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014725",
            "telephone_number": "906-774-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "KOSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GUST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-265-4019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101008053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050B210034",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.