Ko Anesthesia LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS008866L Issued in PA

Legal business name

KO ANESTHESIA LLC

Practice address

1318 Eisenhower Blvd
Johnstown, PA 15904

Phone

(814) 266-5795

Fax

(814) 467-8550

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donna J Datko, DO

Title

Physician

Phone

(814) 266-5795

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KO Anesthesia LLC Former legal business name

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1316974462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-266-5795",
            "fax_number": "814-467-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15904",
            "telephone_number": "814-266-5795",
            "fax_number": "814-467-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "DATKO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-266-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS008866L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001739044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "990317",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KO Anesthesia LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Erin Kmetz, BSL
• Amy Knepper
• Lindsey Nicole Knipple, SLP
• Damiana Kniss, RN
• Victoria Knobloch
• Samir Elie Kodsi, M.D.
• Kathleen Rae Koesarie, MD
• Courtney Kohler
• Mary Jo Kohler, CRNA
• Raaghvi Kohli, MD

• Specialist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.