Kory L Groskreutz (NPI# 1669427621, PAC ID# 1759398373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1669427621 |
| PAC ID by PECOS | 1759398373 |
| Professional Enrollment ID | I20060307000534 |
| Full Name | Kory L Groskreutz |
| Organization Legal Name | AMBULATORY ANESTHESIA SERVICES PLLC |
| Address |
1447 White Oak Dr Chaska MN 55318-2525 |
| Phone Number | 9523683800 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0143561589 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 9528922000 | SOUTH METROPOLITAN ANESTHESIA PA |
| 1447 White Oak Dr, Chaska, MN 55318-2525 | 9523683800 | AMBULATORY ANESTHESIA SERVICES PLLC |
| 6401 France S Ave, Edina, MN 55435-2104 | 9529245187 | SOUTHDALE ANESTHESIOLOGISTS LLC |
| Organization Legal Name | AMBULATORY ANESTHESIA SERVICES PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Steele | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Kenneth Charles Fisher | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Gary Lynn Hagen | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Street Address |
1447 WHITE OAK DR |
| City | CHASKA |
| State | MN |
| Zip | 55318-2525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Steele | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Kenneth Charles Fisher | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Gary Lynn Hagen | Certified Registered Nurse Anesthetist (crna) | Ambulatory Anesthesia Services Pllc | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Linda S Lentz | Certified Registered Nurse Anesthetist | Ams Maple Grove LLC | 1447 White Oak Dr, Chaska, MN 55318-2525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Mclarnan | Clinical Social Worker | 1107 Hazeltine Blvd, Suite 412, Chaska, MN 55318-1022 | |
| Darrin L Bockelmann | Chiropractic | 1107 Hazeltine Blvd, Suite 420, Chaska, MN 55318-1063 | |
| Thomas M Dvorak | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Megan K Korpela | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Norman B Mekkelsen Iii | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Alisha R Englund | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 111 Pioneer Trl, Chaska, MN 55318-1121 |
| Sarah C Krietlow | Optometry | 106 Pioneer Trl, Chaska, MN 55318-1167 | |
| Kathleen R Michalk | Obstetrics/gynecology | Ridgeview Medical Center | 111 Hundertmark Rd, Chaska, MN 55318-1196 |
| Barbara G Houts | Family Medicine | Allina Health System | 111 Hundertmark Rd, Suite 220, Chaska, MN 55318-1197 |
| Liza Antoinette A J Phu | Family Medicine | Allina Health System | 111 Hundertmark Rd, Suite 220, Chaska, MN 55318-1197 |
| Find all physicians in zip 55318 | |||
| City | CHASKA |
| Zip Code | 55318 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CHASKA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kory L Groskreutz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.