Kevin R Grullon (NPI# 1295976645, PAC ID# 2163690967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1295976645 |
| PAC ID by PECOS | 2163690967 |
| Professional Enrollment ID | I20140709001893 |
| Full Name | Kevin R Grullon |
| Organization Legal Name | MINNESOTA LUNG CENTER LTD |
| Address |
920 E 28th St Suite 700 Minneapolis MN 55407-1163 |
| Phone Number | 9525677400 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 2860391521 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 241378 | NEW ULM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3800 Coon Rapids Blvd Nw, Suite 3800, Coon Rapids, MN 55433-2517 | 7634523955 | NORTHSTAR SLEEP CENTER LLC |
| 7450 France S Ave, Suite 210, Edina, MN 55435-4784 | 9525677400 | MINNESOTA LUNG CENTER LTD |
| 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 6128633900 | ALLINA HEALTH SYSTEM |
| 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 | 9525677400 | MINNESOTA LUNG CENTER LTD |
| Organization Legal Name | MINNESOTA LUNG CENTER LTD |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina S Dahlin | Physician Assistant | Minnesota Lung Center Ltd | 8380 City Centre Dr, Suite 160, Woodbury, MN 55125-5312 |
| Vrushank Patel | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Kathy R Gromer | Pulmonary Disease | Minnesota Lung Center Ltd | 675 E Nicollet Blvd, Suite 135, Burnsville, MN 55337-6770 |
| Erin E Peterson | Nurse Practitioner | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Ralph E Steele | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Sarah A Bolstad | Physician Assistant | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Joan M Fox | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Jonathan T Hovda | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Mitchell G Kaye | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Patrick J Wright | Pulmonary Disease | Minnesota Lung Center Ltd | 8380 City Centre Dr, Suite 160, Woodbury, MN 55125-5312 |
| Street Address |
920 E 28TH ST SUITE 700 |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55407-1163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janel M Hemmesch | Registered Dietitian Or Nutrition Professional | Allina Health System | 920 E 28th St, Suite 460, Minneapolis, MN 55407-1286 |
| Vrushank Patel | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Karin J Newell | Nurse Practitioner | Allina Health System | 920 E 28th St, Suite 400, Minneapolis, MN 55407-1286 |
| Xiaoyi Teng | Vascular Surgery | Allina Health System | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1195 |
| Bassam Shukrallah | Thoracic Surgery | Allina Health System | 920 E 28th St, Suite 460, Minneapolis, MN 55407-1286 |
| Erin E Peterson | Nurse Practitioner | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Ralph E Steele | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Devon Sittlow Callahan | General Surgery | Allina Health System | 920 E 28th St, Suite 460, Minneapolis, MN 55407-1286 |
| Sarah A Bolstad | Physician Assistant | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Jill M Dahl | Nurse Practitioner | Allina Health System | 920 E 28th St, Suite 400, Minneapolis, MN 55407-1286 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Fox | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Jonathan T Hovda | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Mitchell G Kaye | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Kelsey Therese Lindberg | Nurse Practitioner | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Tonia R Ashline | Physician Assistant | Minnesota Lung Center Ltd | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1163 |
| Robert M Bowen | Pulmonary Disease | Minnesota Lung Center Ltd | 920 E 28th St, Minneapolis, MN 55407-1163 |
| Aleem Mirza | Vascular Surgery | Allina Health System | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1195 |
| Senthil Nathan Jayarajan | Vascular Surgery | Allina Health System | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1195 |
| Elliot J Stephenson | Vascular Surgery | Allina Health System | 920 E 28th St, Suite 400, Minneapolis, MN 55407-1286 |
| John Braun Miller | General Surgery | Allina Health System | 920 E 28th St, Suite 460, Minneapolis, MN 55407-1286 |
| Find all physicians in zip 55407 | |||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | MINNEAPOLIS + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Kevin R Grullon.
| 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.