Ilya V Treskov (NPI# 1477860872, PAC ID# 4789805110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1477860872 |
| PAC ID by PECOS | 4789805110 |
| Professional Enrollment ID | I20161128001998 |
| Full Name | Ilya V Treskov |
| Organization Legal Name | OZARK ANESTHESIA ASSOCIATES, INC. |
| Address |
1000 E Primrose St Suite 520 Springfield MO 65807-5180 |
| Phone Number | 4172694550 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 1850290149 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 | 4172694550 | OZARK ANESTHESIA ASSOCIATES, INC. |
| 3535 S National Ave, Springfield, MO 65807-7310 | 4712699800 | OZARK ANESTHESIA ASSOCIATES, INC. |
| 3801 S National Ave, Springfield, MO 65807-5210 | 4172696000 | OZARK ANESTHESIA ASSOCIATES, INC. |
| 960 E Walnut Lawn St, Cox Surgery Center, Springfield, MO 65807-7506 | 4172259235 | OZARK ANESTHESIA ASSOCIATES, INC. |
| Organization Legal Name | OZARK ANESTHESIA ASSOCIATES, INC. |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis Denovi | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Amanda Sharp | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Kayla Conner Hickey | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Harold R Bandalan | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Jacob D Hay | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Kelley Coggin | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Curtice E Williams Iii | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| William S Anast | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Kent B Schaller | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| William Wynn | Certified Registered Nurse Anesthetist (crna) | Ozark Anesthesia Associates, Inc. | 3801 S National Ave, Springfield, MO 65807-5210 |
| Street Address |
1000 E PRIMROSE ST SUITE 520 |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65807-5180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Staci Dawn Niemoth | Obstetrics/gynecology | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Thomas M Shultz | Obstetrics/gynecology | Regional Services | 1000 E Primrose St, 270 Coxhealth Primrose Ob Gyn, Springfield, MO 65807-5177 |
| Rebecca L Hampton | Nurse Practitioner | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| William S Anast | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Kent B Schaller | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Daphne R Lemon | Obstetrics/gynecology | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Marcus D Mccorcle | Obstetrics/gynecology | Regional Services | 1000 E Primrose St, 270 Coxhealth Primrose Ob Gyn, Springfield, MO 65807-5177 |
| Lena Georgette Harlan | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| John Kendall Ethridge Jr. | Obstetrics/gynecology | Lester E Cox Medical Centers | 1000 E Primrose St, Suite 360, Springfield, MO 65807-5293 |
| Aleshia M Kellen | Nurse Practitioner | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina Cummins | Physician Assistant | Regional Services | 1720 W Battlefield, Coxhealth Quick Care, Springfield, MO 65807 |
| Tonya Mcmillen Boone | Clinical Social Worker | 1644 W Elfindale St, Springfield, MO 65807-1286 | |
| Carol L Scott | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Christopher Boschen | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Tara L Boehne | Occupational Therapy | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Elizabeth A Tyner | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Kayette M Glass | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Wanda Miller | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| James Neptune | Chiropractic | Neptune Chiropractic Clinic PC | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 |
| Michael L Langenberg | Chiropractic | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 | |
| Find all physicians in zip 65807 | |||
| City | SPRINGFIELD |
| Zip Code | 65807 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SPRINGFIELD + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Ilya V Treskov.
| 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.