| Samuel Alexander Kociola, | |
| 500 Medical Arts Bldg Ste 540, Kittanning, PA 16201-7137 | |
| (724) 543-4942 | |
| Not Available | 
| Full Name | Samuel Alexander Kociola | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 500 Medical Arts Bldg Ste 540, Kittanning, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467915587 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | OS023836 (Pennsylvania) | Primary | 
| Entity Name | Glade Run Medical Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881820850 PECOS PAC ID: 3577696897 Enrollment ID: O20100806000006 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samuel Alexander Kociola, 5300 N Meadows Dr, Grove City, OH 43123-2546 Ph: (614) 663-4550 | Samuel Alexander Kociola, 500 Medical Arts Bldg Ste 540, Kittanning, PA 16201-7137 Ph: (724) 543-4942 | 
| Mr. Charles E Sloane, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Parkview Dr, Ste 2, Kittanning, PA 16201 Phone: 724-645-3663 Fax: 724-545-6905 | |
| Kelly Ann Zbanic, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Arts Bldg Ste 540, Kittanning, PA 16201 Phone: 724-543-4942 | |
| Paul L Frederick, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Arts Bldg, Suite 510, Kittanning, PA 16201 Phone: 724-954-6115 Fax: 724-548-5683 | |
| Dr. Ricky P. Clay Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8500 | |
| Rebecca D Edmonds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 833-246-7662 Fax: 724-671-1706 | |
| Mohamad Rassoul Abu-nuwar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Arts Bldg Ste 540, Kittanning, PA 16201 Phone: 724-543-4942 |