| Timothy Kostura, CRNA | |
| 
					1906 Belleview Ave Se, Roanoke, VA 24014-1838  | |
| (540) 981-7000 | |
| Not Available | 
| Full Name | Timothy Kostura | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1906 Belleview Ave Se, Roanoke, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003823733 | NPI | - | NPPES | 
| 8935386 | Medicaid | VA | |
| 8935378 | Medicaid | VA | |
| 8935408 | Medicaid | VA | |
| 8935424 | Medicaid | VA | |
| 8935459 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001-089932 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0024-089932 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Kostura, CRNA 3026 Tree Top Ln, Roanoke, VA 24018-4851 Ph: () -  | Timothy Kostura, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000  | 
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222  | |
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000  | |
Miss Soyini Fraser, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-494-4897  | |
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855  | |
Mr. Harrison Johnston Shull Iii,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363  | |
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855  | |
Amanda Dillen,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222  |