1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Surgery
  6. NPI Profile

DR. COREY JOHN KROETSCH MD
NPI 1194987669
Surgery in Fargo, ND

Active since June 26, 2008
2101 ELM ST N, FARGO, ND 58102(701) 239-3700 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Corey John Kroetsch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COREY JOHN KROETSCH MD (NPI 1194987669) is an individual surgery provider in Fargo, North Dakota, licensed in North Dakota (12072) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1194987669
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. COREY JOHN KROETSCHCredential: MD
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address2101 Elm St NFargo, ND 58102-2417 · (701) 239-3700
Phone(701) 239-3700
Sole ProprietorNo
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1194987669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ND · 12072✔ Licensed in ND · RL10258
Definition
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.
2101 ELM ST N, Fargo, ND 58102
Open in Google Maps ↗

Other Identifiers 1

Medicaid16491ND

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Kroetsch's NPI number?

The NPI number for Corey Kroetsch is 1194987669. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Corey Kroetsch located?

Corey Kroetsch practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 239-3700.

What is Corey Kroetsch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Corey Kroetsch was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.