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NPI Code Detail

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF TN PC

MEDICARE: RESOURCE ANESTHESIOLOGY ASSOCIATES OF TN PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1316724073
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESOURCE ANESTHESIOLOGY ASSOCIATES OF TN PC
Provider Business Mailing Address
First Line : 450 MAMARONECK AVE STE 201
Second Line :
City : HARRISON
State : NY
Zip : 10528-2436
Country : US
Telephone Number : 914-491-9495
Fax Number : 914-365-6307
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 877-580-2303
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARC E KOCH
Credential : MD
Telephone Number : 914-491-9495
Provider Enumeration Date : 09/14/2023
Last Update Date : 03/04/2026

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