| Philip W Kocoloski, DO | |
|
2945 Maple Ave, Zanesville, OH 43701-1762 | |
| (740) 454-4712 | |
| Not Available |
| Full Name | Philip W Kocoloski |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2945 Maple Ave, Zanesville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033104104 | NPI | - | NPPES |
| 0841665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34005265 (Ohio) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 34-005265 (Ohio) | Secondary |
| Entity Name | Genesis Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
| Entity Name | Genesis Anesthesia Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295205433 PECOS PAC ID: 0042558066 Enrollment ID: O20190215001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip W Kocoloski, DO 945 Bethesda Dr Ste 200, Zanesville, OH 43701-1880 Ph: (740) 454-4788 | Philip W Kocoloski, DO 2945 Maple Ave, Zanesville, OH 43701-1762 Ph: (740) 454-4712 |
Jim Sponaugle, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Forest Ave, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Dale Edwards, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Dr. David J Rogoski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3540 Riverside Airport Rd, Zanesville, OH 43701 Phone: 740-453-5881 | |
Dr. Howard Henry Robinson Jr., MD, MBA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-837-4075 | |
Craig Deleon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Myron Powelson Iii, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2951 Maple Avenue, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 |