Adam Blaine Kretzer (NPI# 1881835213, PAC ID# 5395069801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1881835213 |
| PAC ID by PECOS | 5395069801 |
| Professional Enrollment ID | I20150109001436 |
| Full Name | Adam Blaine Kretzer |
| Organization Legal Name | RUSH OAK PARK NOCTURNIST |
| Address |
520 S Maple Ave Oak Park IL 60304-1022 |
| Phone Number | 7083839300 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 6406032887 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| 140281 | NORTHWESTERN MEMORIAL HOSPITAL |
| 140063 | RUSH OAK PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 8172502150 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| 520 S Maple Ave, Oak Park, IL 60304-1022 | 7083839300 | RUSH OAK PARK NOCTURNIST |
| Organization Legal Name | RUSH OAK PARK NOCTURNIST |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Kuppy | Internal Medicine | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Michael J Katsoulis | Pulmonary Disease | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Youshay Humayun | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Jason M Rodriguez | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Andrew K Dorsch | Neurology | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Jasshan M Mehrotra | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Anjan Deka | Internal Medicine | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Nischal Raya | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Jonathan Schirripa | Anesthesiology | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Veronica Marie Esmero | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Street Address |
520 S MAPLE AVE |
| City | OAK PARK |
| State | IL |
| Zip | 60304-1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keri L Fair | Family Medicine | Rush Oak Park Physicians Group Family Medicine | 520 S Maple Ave, Roppg, Oak Park, IL 60304-1022 |
| Irene M Bakos | Ophthalmology | 520 S Maple Ave, Oak Park, IL 60304-1097 | |
| Erika L Jones | Emergency Medicine | Rush Oak Park Er Physicians Group | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Anuradha Rani Bhama | Colorectal Surgery (proctology) | Rush University Medical Center | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Jessica E Kuppy | Internal Medicine | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Nicholas Donald Ward | Pathology | University Pathology Diagnostics Sc | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Michael J Katsoulis | Pulmonary Disease | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Youshay Humayun | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Jason M Rodriguez | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Andrew K Dorsch | Neurology | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher W. Seder | Thoracic Surgery | University Thoracic Surgeons | 520 S Maple, Oak Park, IL 60304-1022 |
| Stephen C. Jensik | General Surgery | Rush University Medical Center | 520 S Maple Ave 3rd Flr, Oak Park, IL 60304-1022 |
| William T Leslie | Hematology/oncology | Rush University Medical Center | 520 S Maple St, Oak Park, IL 60304-1022 |
| Judy A Carter | Endocrinology | Rush Oak Park Physicians Group Center for Diabetes and Endocrine | 520 S Maple Ave 3rd Floor, Oak Park, IL 60304-1022 |
| Ewa T Dembowski | Cardiovascular Disease (cardiology) | Rush University Medical Center | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Virendra S Saxena | Radiation Oncology | Rush University Medical Center | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Melissa D. Kalensky | Nurse Practitioner | Rush Oak Park Er Physicians Group | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Robert D Vacek | Internal Medicine | Rush Oak Park Physicians Group North Riverside | 520 S Maple Ave, Roppg, Oak Park, IL 60304-1022 |
| Jasshan M Mehrotra | Hospitalist | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Anjan Deka | Internal Medicine | Rush Oak Park Nocturnist | 520 S Maple Ave, Oak Park, IL 60304-1022 |
| Find all physicians in zip 60304 | |||
| City | OAK PARK |
| Zip Code | 60304 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | OAK PARK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Adam Blaine Kretzer.
| 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.