STACY KOCH (NPI# 1104291798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104291798 |
| Entity Type | Individual |
| Full Name | STACY KOCH |
| Credential | RN, CCRN |
| Practice Address |
9665 Rocky Pt Clarence NY 14031-1588 |
| Practice Telephone | 7167597717 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 118382 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922596873 | Stacy Koch | Behavior Technician | 1012 College Rd Ste 103, Dover, DE 19904-6506 | 2018-04-26 |
| 1427488329 | Stacy Koch | Nurse Practitioner | 210 E Gray St, Suite 700, Louisville, KY 40202-3900 | 2013-11-14 |
| 1851677975 | Stacy Koch | Licensed Practical Nurse | 1 Conway Ct, Troy, NY 12180-2108 | 2011-11-03 |
| Street Address |
9665 ROCKY PT |
| City | CLARENCE |
| State | NY |
| Zip Code | 14031-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1821516451 | Kevin Matthew Scibetta | Physical Therapist | 9095 Main St Suite B, Clarence, NY 14031 | 2017-09-04 |
| 1649604091 | Doreen Marie Zak-watt | Social Worker | 10150 Greiner Rd., Clarence Middle School, Clarence, NY 14031 | 2013-08-21 |
| 1558676163 | Valerie Anne Heer | Massage Therapist | 5865 Strickler Rd., Clarence, NY 14031 | 2010-08-09 |
| 1881907665 | Kristi P. Smith | Social Worker | 8265 Sheridan Dr., Williamsville, NY 14031 | 2010-07-21 |
| 1649424979 | Kristen M Alexander | Dentist | 9650 Main Street, Kristen M. Alexander, Clarence, NY 14031 | 2008-11-13 |
| 1982850400 | Kaliopi Kelly Tsimidis Vukas | Dentist | 9600 Main Street, Suite 1, Clarence, NY 14031 | 2008-08-15 |
| 1871787259 | Andrew L Macdonald | Dentist | 9650 Main St, Clarence, NY 14031 | 2007-08-29 |
| 1174652994 | Carmine L Tiso | Dentist | 9530 Main St, Clarence, NY 14031 | 2007-03-05 |
| 1417974577 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5033 Transit Road, Clarence, NY 14031 | 2006-07-16 |
| Find all providers in zip 14031 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
| 1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
| 1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
| 1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
| 1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.