# PROVIDENCE WA ANESTHESIA SERVICES, P.C.

> 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:** 1669615894
- **Authorized official:** DR. MARC E. KOCH M.D. (PRESIDENT & CEO)
- **Authorized official phone:** (914) 491-9495

## Contact information

- **Practice address:** 1321 COLBY AVE, EVERETT, WA 98201-1665
- **Practice address phone:** (914) 491-9495
- **Practice address fax:** (800) 886-1042
- **Mailing address:** 450 MAMARONECK AVE STE 201, HARRISON, NY 10528-2436
- **Mailing address phone:** (914) 491-9495
- **Mailing address fax:** (914) 819-0061

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 10/16/2026