Active NPI
Gregory A Louck, CRNA
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704258243
- Practice address
- 5050 N Clinton St
Fort Wayne, IN 46825-5886 - Phone
- (260) 484-8551
- NPI assigned
- Sep 30, 2009
- Last updated
- Dec 16, 2022
- 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 | 4704258243 | MI | Primary |
Addresses
Primary practice location
5050 N Clinton St
Fort Wayne, IN 46825-5886
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 408-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgery One Anesthesia, LLC | Current | Accepting new patients | |
| Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Indiana Anesthesia Services, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients |
Locations
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
3800 Venetian Way
Ste 100
Newburgh, IN 47630
Phone (812) 266-2903
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174
Organizations & group practices 7
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
- Fort Wayne, IN
- NPI 1144724402
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1033891510
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1427619840
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1073899449
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1083639660
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Fort Wayne, IN
- NPI 1568664613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1730413220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-408-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255886",
"telephone_number": "260-484-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUCK",
"first_name": "GREGORY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704258243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.