Grube Anesthesia Services, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

35223 Issued in WI

Legal business name

GRUBE ANESTHESIA SERVICES, LLC

Practice address

2108 Kohler Memorial Dr
Ste 101
Sheboygan, WI 53081-3100

Phone

(920) 451-8142

NPI assigned

Oct 1, 2012

Last updated

Oct 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas M Grube, CRNA

Title

Owner

Phone

(715) 652-3219

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1578814422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 BECKER RD",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "544129530",
            "telephone_number": "715-652-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 KOHLER MEMORIAL DR",
            "address_2": "STE 101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813100",
            "telephone_number": "920-451-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUBE ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GRUBE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-652-3219",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "35223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Paul Grimm, D.C.
• Brenda Mae Grissom, OTR
• Amanda J Groll, LPC
• Gregory S Grose, MD
• Grounded Roots Chiropractic LLC
• Paul Anthony Gruber, DDS
• Ashley Gruenke, LMT
• Kaitlin Guerin
• Paul Anthony Guidos
• Nicole Guillette

• Certified Registered Nurse Anesthetist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.