Active NPI
Gregory Allen Zinke, CRNA
- Certified Registered Nurse Anesthetist
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6614
- Practice address
- 1615 Maple LN
Ashland, WI 54806-3626 - Phone
- (715) 685-5500
- NPI assigned
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6614 | NC | Primary |
Addresses
Primary practice location
1615 Maple LN
Ashland, WI 54806-3626
Mailing address
W1164 Maple LN.
Carney, MI 49812
Phone (906) 399-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6614 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients |
Locations
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1043818156
MI
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
dba Tamarack Health Ashland Clinic
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Dickinson
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
dba OSF Healthcare St. Francis Hospital & Medical Group
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1437727765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1164 MAPLE LN.",
"city": "CARNEY",
"state": "MI",
"postal_code": "49812",
"telephone_number": "906-399-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063626",
"telephone_number": "715-685-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINKE",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.