KP Anesthesia, PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD418768 Issued in PA

Legal business name

KP ANESTHESIA, PC

Practice address

121 Progress Ave Ste 120S
Pottsville, PA 17901-2968

Phone

(570) 622-5622

Fax

(570) 622-5618

NPI assigned

Feb 28, 2015

Last updated

Nov 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Indu Paul

Title

Office Manager

Phone

(570) 622-5616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Ashok Kumar, MD

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1659353258
  Medicare reassignment NPD
• Prakash N Nayak, MD

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1922080167
  Medicare reassignment NPD

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1518359579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE STE 120",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-622-5622",
            "fax_number": "570-622-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE STE 120S",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-622-5622",
            "fax_number": "570-622-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-622-5616"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD418768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan R Koscuk, PA-C
• Christine Kostecky, BSN, RN
• Jennifer L Kotzmoyer, CRNP
• Traci Kowalick
• Samantha Jo Kozlosky, COTA/L
• Erica Kramer-Smith, MA
• Kayla Marie Kramer
• Brenda Jean Krammes
• David Paul Krewson, D.O.
• Judith Kriskie, LCSW

• Pain Medicine (Anesthesiology) Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.