Kent K Kosmatka (NPI# 1891771770, PAC ID# 7012902992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1891771770 |
| PAC ID by PECOS | 7012902992 |
| Professional Enrollment ID | I20040419001530 |
| Full Name | Kent K Kosmatka |
| Organization Legal Name | SPECIALISTS IN ANESTHESIA PC |
| Address |
5900 Bond Ave Centreville IL 62207-2326 |
| Phone Number | 6183325480 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2567369473 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061303 | EAST MORGAN COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2400 W Edison, Brush, CO 80723-1640 | 9708426200 | EAST MORGAN COUNTY HOSPITAL |
| 5900 Bond Ave, Centreville, IL 62207-2326 | 6183325480 | SPECIALISTS IN ANESTHESIA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| MIPS_EC_427_overall | Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) | 100% | |
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy | 100% | |
| QCDR_EC_AQI29_overall | Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) | 100% |
| Organization Legal Name | SPECIALISTS IN ANESTHESIA PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Merwin | Anesthesiology | Specialists In Anesthesia PC | 17300 N Outer, 40 Suite 100, Chesterfield, MO 63005-1364 |
| Michael Mccamley | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 16 Chamber Dr, Washington, MO 63090-5279 |
| Jennifer R Jobe | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Gerald J Luchtefeld | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 3933 S Broadway, Saint Louis, MO 63118-4601 |
| Kevin W Hutcheson | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 3933 S Broadway, Saint Louis, MO 63118-4601 |
| Andrew M Miller | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Oluseyi Fadegbola Ogundimu | Pain Management | Specialists In Anesthesia PC | 3933 S Broadway, Saint Louis, MO 63118-4601 |
| William J Hoppe | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 3933 S Broadway, Saint Louis, MO 63118-4601 |
| Brad Bernstein | Anesthesiology | Specialists In Anesthesia PC | 3933 S Broadway, Saint Louis, MO 63118-4601 |
| Michael D Finn | Anesthesiology | Specialists In Anesthesia PC | 17300 N Outer, 40 Suite 100, Chesterfield, MO 63005-1364 |
| Street Address |
5900 BOND AVE |
| City | CENTREVILLE |
| State | IL |
| Zip | 62207-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence E Wade | Diagnostic Radiology | Touchette Regional Hospital Inc | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Jennifer R Jobe | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Andrew M Miller | Certified Registered Nurse Anesthetist (crna) | Specialists In Anesthesia PC | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Rachelle Mary Leach | Emergency Medicine | Touchette Regional Hospital Inc | 5900 Bond Ave, Centreville, IL 62207-2326 |
| John R Williams Jr. | Emergency Medicine | Touchette Regional Hospital Inc | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Chennaiah C Nadindla | Emergency Medicine | Touchette Regional Hospital, Inc. | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Charles C Dumontier | Diagnostic Radiology | Touchette Regional Hospital, Inc. | 5900 Bond Ave, E Saint Louis, IL 62207-2326 |
| Lloyd E Thompson | Otolaryngology | Touchette Regional Hospital, Inc. | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Ross | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| Lara E Stein | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| Michael B Moore | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| Darrell M Ballinger | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| City | CENTREVILLE |
| Zip Code | 62207 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | CENTREVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| 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.