Mr. Grover Scott Cruise is a Hattiesburg, Mississippi based nurse anesthetist with 26 years of experience as Anesthesia Administration. He completed he graduation in 1999. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Grover Scott Cruise is R847413 for Anesthesia Administration in Mississippi. his current practice location is 125 S 12th Ave, Hattiesburg. Patients can reach him at 601-310-4509. Mr. Grover Scott Cruise is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1720043219. Mr. Grover Scott Cruise is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Grover Scott Cruise speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
26+ years
Medical School Attended:
Other
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
125 S 12th Ave, Hattiesburg, Mississippi, 39401-6106
Phone:
601-310-4509
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
1254376213
Enrollment ID:
I20050621001041
NPI Number:
1720043219
NPI Enumeration Date:
19 Apr, 2006
NPI Last Update On:
03 Oct, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Grover Scott Cruise are as mentioned below.
License Number
Specialization
State
Status
R847413
Anesthesia Administration
Mississippi
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Trios Health (500053)
Kennewick, WA
Acute Care Hospital
Harris Regional Hospital (340016)
Sylva, NC
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Grover Scott Cruise has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Medstream Anesthesia Pllc (7416198049)
522
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Grover Scott Cruise such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00121803
Medicaid
Mississippi
2116461
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2295, Asheville, North Carolina
Zip:
28802-2295
Phone Number:
828-398-5244
Fax Number:
828-360-3080
Patients can reach Mr. Grover Scott Cruise at 125 S 12th Ave, Hattiesburg, Mississippi or can call to book an appointment on 601-310-4509.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.