Corey R Anderson (NPI# 1114245297, PAC ID# 3375667595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1114245297 |
| PAC ID by PECOS | 3375667595 |
| Professional Enrollment ID | I20100825000276 |
| Full Name | Corey R Anderson |
| Organization Legal Name | REGIONAL ANESTHESIA SERVICES PA |
| Address |
13911 Ridgedale Dr Suite 350 Minnetonka MN 55305-1770 |
| Phone Number | 9529329012 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0648250548 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240030 | DOUGLAS COUNTY HOSPITAL |
| 240075 | ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 523 N 3rd St, Brainerd, MN 56401-3054 | 2188287394 | ST JOSEPHS MEDICAL CENTER |
| 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 | 9529329012 | REGIONAL ANESTHESIA SERVICES PA |
| Organization Legal Name | REGIONAL ANESTHESIA SERVICES PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Paul Suojanen | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Joseph M Klick | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Thomas K Yue | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Matthew G Mohrenweiser | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Lawrance C Merck | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Jacalyn A Hoecker | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Keith A Nelson | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Taying Yang | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Ronald W Bardwell | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Hoai D Pham | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Street Address |
13911 RIDGEDALE DR SUITE 350 |
| City | MINNETONKA |
| State | MN |
| Zip | 55305-1770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Paul Suojanen | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Joseph M Klick | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Thomas K Yue | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Matthew G Mohrenweiser | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Lawrance C Merck | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Jacalyn A Hoecker | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Keith A Nelson | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Taying Yang | Anesthesiology | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Ronald W Bardwell | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Services Pa | 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305-1770 |
| Twila B Germanson | Psychiatry | 13911 Ridgedale Dr, Suite 450, Minnetonka, MN 55305-1700 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alecia A Viera | Psychologist, Clinical | 10505 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1502 | |
| Nancy A Foster | Clinical Psychologist | Nancy Foster Phd LLC | 10505 Wayzata Blvd, Minnetonka, MN 55305-1502 |
| Harriet A Kohen | Clinical Social Worker | 10201 Wayzata Blvd, Suite 220, Hopkins, MN 55305-1505 | |
| David S Alter | Psychologist, Clinical | 10505 Wayzata Boulevard, Suite 200, Minnetonka, MN 55305-1506 | |
| Peggy Susan Maki | Psychologist, Clinical | 10520 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-1511 | |
| David R Hardten | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Shelby K Anderson | Optometry | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Samuel Frederick Passi | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Richard L Lindstrom | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Sarah Maki | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Find all physicians in zip 55305 | |||
| City | MINNETONKA |
| Zip Code | 55305 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MINNETONKA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Corey R Anderson.
| 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.