Individual
ROBERT J GROENEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R026334 - 0461
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006659
SD BLUE CROSS
SD
01
—
051K0GR
MN BLUE CROSS
MN
05
—
0573980
—
IA
05
—
460224743-48
—
NE
01
—
460224743-57105-AC41
TRICARE PROVIDER #
SD
05
—
5753700
—
SD
01
—
R026334
DAKOTACARE PROVIDER #
SD
Enumeration date
08/11/2006
Last updated
03/06/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up