# PENNSYLVANIA ANESTHESIA SERVICES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003183344
- **Authorized official:** MARC E. KOCH M.D (PRESIDENT & CEO)
- **Authorized official phone:** (914) 637-3511

## Contact information

- **Practice address:** 225 S CENTER AVE \# 4, SOMERSET, PA 15501-2088
- **Practice address phone:** (814) 443-5000
- **Mailing address:** 10 COMMERCE DR, NEW ROCHELLE, NY 10801-5253
- **Mailing address phone:** (914) 637-3530
- **Mailing address fax:** (914) 560-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 12/09/2011