Abby R Mayo (NPI# 1013344654, PAC ID# 2163659608) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013344654 |
| PAC ID by PECOS | 2163659608 |
| Professional Enrollment ID | I20131209000885 |
| Full Name | Abby R Mayo |
| Organization Legal Name | SOUTH METROPOLITAN ANESTHESIA PA |
| Address |
201 E Nicollet Blvd Burnsville MN 55337-5714 |
| Phone Number | 9528922000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1153370911 |
| Number of Group Practice Members | 28 |
| 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 |
| Organization Legal Name | SOUTH METROPOLITAN ANESTHESIA PA |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Thyen | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Neil H Stock | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Susan M Webb | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Tracy M Maas | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Sylvia K Utecht | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Lisa Y Cole | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Alison M Larson | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Kevin G Preston | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| David L Kimball | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Rory S Kortan | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Street Address |
201 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-5714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Larson | Anesthesiology | Metropolitan Anesthesia Network LLP | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Michael D Thyen | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Neil H Stock | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| John A Kollitz | Anesthesiology | Metropolitan Anesthesia Network LLP | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Susan M Webb | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Tracy M Maas | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Laura E Moench | Pathology | Fairview Health Services | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Kathrine Patricia Frey | Pathology | Fairview Health Services | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Eric E Steinbrueck | Internal Medicine | Fairview Health Services | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Sylvia K Utecht | Certified Registered Nurse Anesthetist (crna) | South Metropolitan Anesthesia Pa | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BURNSVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.