Active NPI
Wilkes-Barre Anesthesia Services
- Anesthesiology Physician
- Wilkes Barre, PA
National Provider Identifier
1760704613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- WILKES-BARRE ANESTHESIA SERVICES
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0001 - Phone
- (570) 829-8111
- NPI assigned
- Feb 19, 2010
- Last updated
- Feb 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc E. Koch, MD
- Title
- President & Ceo
- Phone
- (914) 637-3511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0001
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1629069497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1760704613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMERCE DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015214",
"telephone_number": "914-637-3510",
"fax_number": "914-633-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640001",
"telephone_number": "570-829-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKES-BARRE ANESTHESIA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "914-637-3511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
- Wilkes Barre Sleep Solutions, LLC
- Wilkes Barre Vamc
- Wilkes Barre Vamc
- Wilkes Barre Veteran's Hospital
- Wilkes University (Wilkes Health Services)
- Wilkes-Barre Area School District
- Wilkes-Barre Clinic Company LLC
- Wilkes-Barre Hospital Company LLC
- Wilkes-Barre Hospital Company LLC (Wilkes Barre General Hospital)
- Derek Wilkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.