| Cody Grotts, MD | |
|
701 N 1st St, Springfield, IL 62781-1009 | |
| (217) 788-3000 | |
| Not Available |
| Full Name | Cody Grotts |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |