Jerry Micho, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

340834 Issued in NY

Practice address

1450 Western Ave Ste 102
Anesthesia Group of Albany, PC
Albany, NY 12203-3539

Phone

(518) 463-0050

Fax

(518) 207-2973

NPI assigned

Jul 3, 2006

Last updated

May 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Georgetown University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Syracuse Gastroenterological Associates.PCGroup PAC ID 6305814716, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Medicare reassignment Care Compare group NPD
• Syracuse Gastroenterological Associates.PC

  • Gastroenterology Physician
  • East Syracuse, NY
  • NPI 1619947843
  Medicare reassignment Care Compare group
• Griffiss Ec, LLC

  dba Griffiss ASC Anesthesia

  • Anesthesiology Physician
  • Rome, NY
  • NPI 1487259545

  Nurse Anesthetist, Certified Registered

  NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• Oswego Hospital

  • Anesthesiology Physician
  • Oswego, NY
  • NPI 1255639043
  NPD
• Syracuse Gastroenterological Associates PC

  • Anesthesiology Physician
  • East Syracuse, NY
  • NPI 1417326661
  NPD
• Loudoun Anesthesia Associates

  • Anesthesiology Physician
  • Potomac Falls, VA
  • NPI 1629017645
  NPD (past)
• Northern Indiana Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1083639660

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Northern Virginia Anesthesia Assoc.

  • Anesthesiology Physician
  • Woodbridge, VA
  • NPI 1033214234
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1205866704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE STE 102",
            "address_2": "ANESTHESIA GROUP OF ALBANY, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-463-0050",
            "fax_number": "518-207-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE STE 102",
            "address_2": "ANESTHESIA GROUP OF ALBANY, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-463-0050",
            "fax_number": "518-207-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHO",
        "first_name": "JERRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28156222",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "340834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanira Michaud
• Clifford Michel, LPN
• Phailah Michel, PHARMD
• Kimberly Marie Michelini, LCSW-R
• Lorelei A Michels, D.O.
• Edward John Micka, D.M.D.
• Mid-Life Endocrinology PLLC
• Sarah Elizabeth Midboe
• Dion Middleton
• Joanna Midura Paluch, DO

• Certified Registered Nurse Anesthetist in Albany, NY
• Providers in Albany, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.