# GULF COAST ANESTHESIA SERVICES PC

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

## Provider details

- **NPI number:** 1154268639
- **Authorized official:** MARC E KOCH (CEO)
- **Authorized official phone:** (917) 613-6627

## Contact information

- **Practice address:** 4500 13TH ST, GULFPORT, MS 39501-2515
- **Practice address phone:** (228) 865-3065
- **Mailing address:** 450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
- **Mailing address phone:** (914) 491-9495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 08/21/2026