LAURIE K. GROTZINGER (NPI# 1043566003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043566003 |
| Entity Type | Individual |
| Full Name | LAURIE K. GROTZINGER |
| Credential | PA |
| Practice Address |
560 S Maple St Suite 400 Waconia MN 55387-1733 |
| Practice Telephone | 9524427804 |
| Mailing Telephone | 9524427804 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11354 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
560 S MAPLE ST SUITE 400 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379178 | Cheryl A Hansen | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-10 |
| 1790339497 | Dana Lee Cox | Occupational Therapist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-07-31 |
| 1548828700 | Lindsay Marie Getten | Specialist/Technologist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-06-03 |
| 1225422819 | Jeffrey Chrest | Specialist/Technologist | 560 S Maple St, Suite 210, Waconia, MN 55387-1733 | 2015-03-23 |
| 1346656089 | Shawn Johnson | Advanced Practice Midwife | 560 S Maple St, Suite 130, Waconia, MN 55387 | 2014-07-02 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043636145 | Meghan M Kolumbus | Specialist/Technologist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-03-13 |
| 1013277052 | Benjamin James Stasik | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2012-05-24 |
| 1922300979 | Jina M Burman | Physical Therapist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2010-11-24 |
| 1417276304 | Ryan J. Bakko | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2010-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700328689 | Brady Perry Griffith | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-11-09 |
| 1780042325 | Cynthia Nicole Matthees | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-02-09 |
| 1194124313 | Sarah Talbott | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.