Active NPIIndividual provider

Richard T Grunke, CRNA

Nurse Anesthetist, Certified Registered in Rockport, Maine

NPI Number1285456863
Practice location
6 Glen Cove Dr, Rockport, ME 04856-4272
Fax
207-921-5280
Last updated
September 29, 2026

Richard Thomas Grunke is a Nurse Anesthetist, Certified Registered based in Rockport, ME. Richard Thomas Grunke practices in Rockport, ME and has the professional credentials of CRNA. The NPI Number for Richard Thomas Grunke is 1285456863 and holds a License No. 1103923 (WI). The current practice location address for Richard Thomas Grunke is 6 Glen Cove Dr, Rockport, ME 04856-4272 and can be reached out via phone at 207-921-8400 and via fax at 207-921-5280.

Provider Profile Details

NPI Number
1285456863
Provider Name
Richard Thomas Grunke
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
6 Glen Cove Dr, Rockport, ME 04856-4272
Phone Number
207-921-8400
Fax Number
207-921-5280
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2024
Last Update Date
September 29, 2026
Certification Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
State
Maine
Zip
04856-4272
Phone Number
207-921-8400
Fax Number
207-921-5280
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
6 Glen Cove Dr
Rockport, ME 04856-4272
City
Rockport
State
ME
Zip
04856-4272
Phone Number
207-921-8400
Fax Number
207-921-5280

License Information

License Number (1)
1103923
License State (1)
WI
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RNA263045
License State (2)
ME
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard T Grunke, CRNA?

The NPI number of Richard T Grunke, CRNA is 1285456863. It was assigned on October 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Richard T Grunke, CRNA?

Richard T Grunke, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in WI under license number 1103923.

Where does Richard T Grunke, CRNA practice?

The practice location is 6 Glen Cove Dr, Rockport, ME 04856-4272. The office can be reached at 207-921-8400 (phone) or 207-921-5280 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285456863 directly on the NPPES registry website.

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