Jerry J Micho (NPI# 1205866704, PAC ID# 2466403456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1205866704 |
| PAC ID by PECOS | 2466403456 |
| Professional Enrollment ID | I20111027000525 |
| Full Name | Jerry J Micho |
| Organization Legal Name | OSWEGO HOSPITAL |
| Address |
110 W 6th St Oswego NY 13126-2507 |
| Phone Number | 3153495511 |
| Gender | M |
| Credential | CNA |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4981686045 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495511 | OSWEGO HOSPITAL |
| 301 Prospect Ave, Syracuse, NY 13203-1807 | 3154485111 | AMERICAN ANESTHESIOLOGY OF NEW YORK, P.C. |
| Organization Legal Name | OSWEGO HOSPITAL |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar Colon | Psychiatry | Oswego Hospital | 74 Bunner St, Oswego, NY 13126-3357 |
| Teresa M Piotrowicz | Psychiatry | Oswego Hospital | 501 /2 S 2nd St, Fulton, NY 13069-2901 |
| Marie E Castillo Alcasid | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jeri L Polchlopek | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Janet Atkinson | Clinical Social Worker | Oswego Hospital | 74 Bunner St, Oswego, NY 13126-3357 |
| Samir Edward Yousef | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Peter Lacell | Registered Dietitian Or Nutrition Professional | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Kevin T Leroy | Nurse Practitioner | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Paola Mazzoni | Psychiatry | Oswego Hospital | 74 Bunner St, Oswego, NY 13126-3357 |
| Michael B Alcasid | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Street Address |
110 W 6TH ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Edward Davis | Nurse Practitioner | Rockaway Emergency Medicine Services PC | 110 W 6th St, Oswego, NY 13126-2507 |
| Richard H Koehler | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Megan R Coghlan | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Kristine S Strumpfler | Nurse Practitioner | Pons Physician Services Pllc | 110 W 6th St, Fl 3, Oswego, NY 13126-2507 |
| Marie E Castillo Alcasid | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jeri L Polchlopek | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Nathaniel Michael Farden | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Samir Edward Yousef | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Peter Lacell | Registered Dietitian Or Nutrition Professional | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Dana Finch | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OSWEGO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jerry J Micho.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.