Dr Kim Richard Koster, MD | |
1 Childrens Plz, Dayton, OH 45404-1815 | |
(937) 641-3477 | |
(937) 641-5410 |
Full Name | Dr Kim Richard Koster |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 1 Childrens Plz, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750347050 | NPI | - | NPPES |
0449644 | Medicaid | OH | |
110728614 | Other | TX | CSHCN |
110728613 | Medicaid | TX | |
8BX292 | Other | BCBS TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | K0876 (Texas) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 35.141602 (Ohio) | Primary |
Entity Name | U S Anesthesia Partners Of Texas, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
Entity Name | Lone Star Anesthesia Partners Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124760996 PECOS PAC ID: 4880072636 Enrollment ID: O20220607000810 |
Entity Name | Alpha Anesthesia Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114644895 PECOS PAC ID: 5092183681 Enrollment ID: O20221202000724 |
Mailing Address | Practice Location Address |
---|---|
Dr Kim Richard Koster, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Dr Kim Richard Koster, MD 1 Childrens Plz, Dayton, OH 45404-1815 Ph: (937) 641-3477 |
Sumiko S Sarle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mr. Antonio M Licata, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Joseph Mulcare, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Dr. Roberta Elizabeth Galford, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1997 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-401-6220 | |
Dr. Thomas James Fritz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mark Chambers, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409 Phone: 937-208-2627 | |
Nancy Kwon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Fl, Anes. Dept., Attn: Barb, Dayton, OH 45409 Phone: 937-208-4380 |