Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194987669 Individual Practitioner Male Practitioner

Dr. Corey John Kroetsch , MD

Surgery • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Corey Kroetsch, MD is a registered healthcare professional specializing in Surgery in Fargo, ND. Practice services are available at 2101 ELM ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 Elm St N

Fargo, ND 581022417

Telephone 7012393700
Associated Practice Facility / Clinic
🏢 Fargo Vamc Facility NPI 1700844636

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Fargo, ND (148 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND 12072

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License ND RL10258

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
16491 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erica Muchow , RN

Registered Nurse

NPI 1003362427

Registered Nurse

Kevin Mccarvel , RN

Registered Nurse - Ambulatory Care

NPI 1003620477

Registered Nurse

Tyna Halvorson , LPN

Licensed Practical Nurse

NPI 1003789843

Licensed Practical Nurse

Kimberly Skog , CNMT

Radiologic Technologist - Nuclear Medicine Technology

NPI 1013721794
Samantha Shapiro

Orthotic Fitter

NPI 1013868603
Dr. Stephen Lee , MD

Emergency Medicine

NPI 1013940907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 27, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

📍
Updated Business Mailing Address February 27, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

NPI Profile Active January 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012345884)

📍
Updated Business Mailing Address January 17, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012345884)

👤
Provider Name / Credentials Updated January 17, 2012

Recorded as COREY KROETSCH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2012

Surgery (License #12072 in ND)

🟢
Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194987669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: February 27, 2025
Sole Proprietor: No

Mailing Address

2101 Elm St N

Fargo, ND 581022417

Phone: 7012393700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.