Cody Grotts, MD | |
701 N 1st St, Springfield, IL 62781-1009 | |
(217) 788-3000 | |
Not Available |
Full Name | Cody Grotts |
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Gender | Male |
Speciality | Anesthesiology |
Location | 701 N 1st St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811551922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036165091 (Illinois) | Primary |
Entity Name | Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568017481 PECOS PAC ID: 7315835949 Enrollment ID: O20040720000648 |
Mailing Address | Practice Location Address |
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Cody Grotts, MD 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000 | Cody Grotts, MD 701 N 1st St, Springfield, IL 62781-1009 Ph: (217) 788-3000 |
Dr. Thomas Neil Rooke, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Fernando Melkun, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 Fax: 177-576-5372 | |
Renato Enriquez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-5495 | |
Dr. Robert Kojima, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-2521 | |
Dr. Allison Nicole Yu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Dr. Dylan Robert Afeld, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
Dr. Peter Martin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-5495 |