Marjorie S Koza, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R29654 Issued in NM

Practice address

602 Avenida Celaya
Santa Fe, NM 87506-3439

Phone

(505) 690-4281

NPI assigned

Apr 14, 2006

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marjorie S Gacso Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

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.

• Carlsbad Medical Center LLC

  • Anesthesiology Physician
  • Carlsbad, NM
  • NPI 1518904168

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ophthalmic Anesthesia Services

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1740295120
  NPD (past)
• Associates in Anesthesia

  • Anesthesiology Physician
  • Chadds Ford, PA
  • NPI 1336470467
  NPD (past)
• Associates in Anesthesia, Inc.

  • Anesthesiology Physician
  • Chadds Ford, PA
  • NPI 1942281191
  NPD (past)
• Chesapeake Pain Management, LLC

  • Specialist
  • Baltimore, MD
  • NPI 1437395167
  NPD (past)
• Chesapekae Perioperative Services L.L.C.

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1891724480
  NPD (past)
• Professional Anesthesia Services LLC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1336470475
  NPD (past)
• Yuma Endoscopy Sedation Service, LLC

  • Certified Registered Nurse Anesthetist
  • Yuma, AZ
  • NPI 1386941235

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1487618534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2006",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042006",
            "telephone_number": "505-690-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 AVENIDA CELAYA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875063439",
            "telephone_number": "505-690-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "MARJORIE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R29654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406178100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "GACSO",
            "middle_name": "S",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Jan Kossmann, M.D.
• Evan Kottle
• Maegan C Kovac
• Daniel A Kovnat, MD
• Paul Jay Kovnat, MD
• Kpu Dental LLC (Milagro Dental)
• Megan Ashley Kramer, RPH
• Madelyn Krassner, LISW
• Thomas W Kravitz, M.D.
• Megan Krispinsky, M.D.

• Certified Registered Nurse Anesthetist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.