COREY ROBERT ANDERSON (NPI# 1114245297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114245297 |
| Entity Type | Individual |
| Full Name | COREY ROBERT ANDERSON |
| Credential | MD |
| Practice Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Practice Telephone | 2188292861 |
| Mailing Telephone | 2188292861 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 52735 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558731281 | Corey Anderson | Pharmacist | 3625 Williams Blvd., Kenner, LA 70065 | 2015-10-07 |
| 1518254382 | Corey Anderson | Dentist | 1023 Pittsburgh Rd Ste 205, Uniontown, PA 15401-8408 | 2011-06-30 |
| 1083213169 | Corey Marie Anderson | Counselor | 10427 Detroit Ave, Cleveland, OH 44102-1645 | 2020-10-20 |
| 1649787755 | Corey Benjamin Anderson | Physician Assistant | 547 N Justice St, Hendersonvlle, NC 28739-4251 | 2018-01-10 |
| 1891129839 | Corey Demar Anderson | Nurse Anesthetist, Certified Registered | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 | 2013-08-27 |
| 1114278819 | Corey Darryl Anderson | Clinical Neuropsychologist | 2801 N Gantenbein Ave, Suite 2225, Portland, OR 97227-1623 | 2012-09-21 |
| 1144598822 | Corey Dean Anderson | Counselor | 5120 Se 118th Ave, Portland, OR 97266-3250 | 2011-12-08 |
| 1194093161 | Corey Lee Anderson | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2011-12-06 |
| 1588862114 | Corey D Anderson | Anesthesiology | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2007-07-05 |
| 1265509483 | Corey Lee Anderson | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-11-30 |
| Street Address |
523 N 3RD ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096496 | Richard F Galbraith | Chiropractor | 523 N 3rd St, Brainerd, MN 56401-3054 | 2005-07-08 |
| 1083211676 | Aaron John Stanley | Student in an Organized Health Care Education/Training Program | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-10-06 |
| 1427675909 | Amanda K Redning | Psychiatry & Neurology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-06-30 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1285284240 | Jennifer Lee Stange | Dietitian, Registered | 523 N 3rd St, Brainerd, MN 56401-3054 | 2019-09-12 |
| 1629585302 | Jacob S Brusehaver | Occupational Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2018-01-04 |
| 1669905337 | Tegan Nicole John | Hospitalist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2017-04-09 |
| 1366827750 | Cheryl Winch | Physical Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2015-07-27 |
| 1629450689 | Richard V Castle | Internal Medicine | 523 N 3rd St, Brainerd, MN 56401 | 2015-06-25 |
| 1417336173 | Leah Lempola | Nurse Practitioner | 523 N 3rd St, Medical Staff Office, Brainerd, MN 56401-3054 | 2015-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376959577 | Michael Reyes | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401 | 2014-07-08 |
| 1013146737 | Stacy Lynette Brazier | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2009-07-02 |
| 1063565166 | Mark Woods Haecker | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-19 |
| 1093754814 | Leif Michael Dahleen | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487384 | Barbara Elfstrom | Anesthesiology | 4432 Hodgson Rd, Shoreview, MN 55126-1922 | 2019-10-01 |
| 1194371427 | Metropolitan Anesthesia Consultants, LLC | Anesthesiology | 111 Hundertmark Rd Ste 460, Chaska, MN 55318-1461 | 2019-08-13 |
| 1700248861 | Ryan Ross Childs | Anesthesiology | 500 Se Harvard St, University of Minnesota Medical Center - East Bank, Minneapolis, MN 55455-0363 | 2016-03-27 |
| 1083079750 | Community Anesthesia Professionals Pllc | Anesthesiology | 2550 University Avenue, Suite 423 South, St Paul, MN 55114-1904 | 2015-12-23 |
| 1902295918 | Edwin Joseph Dasso | Anesthesiology | 6491 Pipewood Curv, Excelsior, MN 55331-7702 | 2015-01-14 |
| 1689924631 | Judith Mw Meisner | Anesthesiology | 4647 Woodridge Rd, Minnetonka, MN 55345-3938 | 2012-09-18 |
| 1760783799 | Eric Paul Jahn | Anesthesiology | 16204 Ice Circle Dr, Wayzata, MN 55391-2322 | 2010-11-08 |
| 1962720250 | Matthew Christian Werpy | Anesthesiology | 4824 E 53rd St, #212, Minneapolis, MN 55417-5001 | 2010-05-11 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1518295260 | Robert Louis Venegoni | Anesthesiology | 5021 Scriver Road, Edina, MN 55436-1159 | 2009-11-18 |
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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.