Anesthesia Associates, PLLC
Organization Active NPI Specialist · Maple Grove, MN
NPI 1104176205 · NPPES record last updated Jun 13, 2018
Key facts
- NPI
- 1104176205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ANESTHESIA ASSOCIATES, PLLC
- Practice address
- 9645 Grove Cir N Ste 250
Maple Grove, MN 55369 - Phone
- (763) 201-8191
- Fax
- (763) 201-8192
- NPI assigned
- Sep 16, 2012
- Organization subpart
- No
Authorized official
- Name
- James B Parmele, MD
- Title
- Co-Owner
- Phone
- (314) 494-5484
Practitioners 36
-
Gary K Cozine, CRNA
-
Shelly E Cozine, CRNA
-
Shirley J Steele, CRNA
-
Alberto Villamiel, CRNA
-
Natalie M Salden, CRNA
-
Carol J Campbell, CRNA
-
Caleb John Corrow, CRNA
-
Becca Ebba Lundberg, CRNA
-
James Bryan Parmele, M.D.
-
Chad M Reuter, CRNA
-
Kathryn M Scott, CRNA
-
Nickolas C Southwick, CRNA
-
Amy S. Swartz, CRNA, FNP
-
Samuel S Wiorek, CRNA
-
Jason Sanford Wolff, M.D.
-
Michael Earl Woods Jr., CRNA
-
Sherree Lee Engen, C.R.N.A.
-
Ronald W. Bardwell, C.R.N.A.
-
Jeffrey Merriam, CRNA
-
Danielle Nicole Anderson, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130403000426 | MN | Part B Supplier - Clinic/Group Practice | 4284879701 |
Receives reassigned benefits from 22 practitioners Practice locations: Burnsville, MN; Chaska, MN; Edina, MN; Maple Grove, MN |
National Provider Directory
Locations
14000 Nicollet Ave
Ste 104
Burnsville, MN 55337
3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 361-9922
9600 Upland Ln N
Ste 160
Maple Grove, MN 55369
9645 Grove Cir N
Ste 250
Maple Grove, MN 55369
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
9645 Grove Cir N Ste 250
Maple Grove, MN 55369
Mailing address
9645 Grove Cir N Ste 250
Maple Grove, MN 55369-4466
Phone (763) 201-8191
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.