| Timothy Nicolai Kruse, MD | |
|
3333 Riverbend Dr, Springfield, OR 97477-8800 | |
| (541) 686-9551 | |
| Not Available |
| Full Name | Timothy Nicolai Kruse |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3333 Riverbend Dr, Springfield, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346803624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD221810 (Oregon) | Primary |
| Entity Name | The Association Of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Nicolai Kruse, MD 939 Harlow Rd Ste 110, Springfield, OR 97477-1190 Ph: (541) 686-9551 | Timothy Nicolai Kruse, MD 3333 Riverbend Dr, Springfield, OR 97477-8800 Ph: (541) 686-9551 |
Albert R Cho, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-686-7300 | |
Amanda Ellen Koonce, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-681-5124 | |
Mark N Bodily, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Ximeng Yang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 | |
Daniel R Hagengruber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Brian P Jones, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-3154 | |
Dorothy A Penaloza, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3333 Riverbend Drive, Springfield, OR 97477 Phone: 541-222-3154 Fax: 541-222-3359 |