Matthew Steven Kook, | |
75 W Holly St, Pasadena, CA 91103-3946 | |
(562) 457-9574 | |
Not Available |
Full Name | Matthew Steven Kook |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 75 W Holly St, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255033973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | 844452 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 143030 (California) | Primary |
Entity Name | Buena Vista Anesthesia Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366462293 PECOS PAC ID: 7113975996 Enrollment ID: O20050107000780 |
Entity Name | Precision Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459 |
Mailing Address | Practice Location Address |
---|---|
Matthew Steven Kook, 75 W Holly St, Pasadena, CA 91103-3946 Ph: () - | Matthew Steven Kook, 75 W Holly St, Pasadena, CA 91103-3946 Ph: (562) 457-9574 |
Andrea Lynn Shankar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 170 E Walnut St Apt 412, Pasadena, CA 91103 Phone: 618-567-1287 | |
Mr. Austin Michael Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 45 S Oak Ave, #4, Pasadena, CA 91107 Phone: 509-845-1023 | |
Mrs. Kristine Lee Symeonides, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 393 E Walnut St, Pasadena, CA 91188 Phone: 626-405-3224 Fax: 626-405-2675 | |
Rozely Barbero, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 393 E Walnut St, Pasadena, CA 91188 Phone: 877-457-4772 | |
Lance Christopher Uniza Guerrero, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2551 E Del Mar Blvd, Pasadena, CA 91107 Phone: 323-823-1211 | |
Kennedy Oluoch Nyahanga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 46 S Lotus Ave, Apt #b, Pasadena, CA 91107 Phone: 252-702-5677 | |
Gregory Scott Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 S Fair Oaks Ave, Suite 106, Pasadena, CA 91105 Phone: 818-317-6909 |