| Regional West Physicians Clinic | |
|
2 W 42nd St Suite 2600 Scottsbluff NE 69361-0617 | |
| (308) 630-2877 | |
| (308) 630-2870 |
| Full Name | Regional West Physicians Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2 W 42nd St, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Melvin G Mcnea (DIRECTOR) |
| Authorized Official Contact | 3086353711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional West Physicians Clinic Po Box 1248 Scottsbluff NE 69363-1248 Ph: (308) 630-2930 | Regional West Physicians Clinic 2 W 42nd St Suite 2600 Scottsbluff NE 69361-0617 Ph: (308) 630-2877 |
| NPI Number | 1306910534 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 2062301609 |
|---|---|
| Medicare Enrollment ID | O20040315001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306910534 | NPI | - | NPPES |
| Provider Name | Tamera L Belz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508855370 PECOS PAC ID: 2769475466 Enrollment ID: I20040407001044 |
| Provider Name | Thomas J Tegt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265440572 PECOS PAC ID: 9537154364 Enrollment ID: I20040614001358 |
| Provider Name | Kavir Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467444588 PECOS PAC ID: 6608848296 Enrollment ID: I20040812001096 |
| Provider Name | Cynthia Kay Mccumbers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801860341 PECOS PAC ID: 8325017635 Enrollment ID: I20041001000806 |
| Provider Name | David L Samani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497851547 PECOS PAC ID: 8325008824 Enrollment ID: I20041028000862 |
| Provider Name | Liane E Donovan |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1093770687 PECOS PAC ID: 0648233320 Enrollment ID: I20041105000419 |
| Provider Name | John R Massey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922063528 PECOS PAC ID: 0547223224 Enrollment ID: I20041108000779 |
| Provider Name | Dorisa L Polk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205833027 PECOS PAC ID: 4082670146 Enrollment ID: I20041209000741 |
| Provider Name | Duwayne A Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538257746 PECOS PAC ID: 1456255181 Enrollment ID: I20050207000087 |
| Provider Name | Eric Wiebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477561512 PECOS PAC ID: 6507810009 Enrollment ID: I20050308000802 |
| Provider Name | Lodewyk R Papenfus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841205424 PECOS PAC ID: 5395799803 Enrollment ID: I20050308000825 |
| Provider Name | Kurt A Fahrenbrook |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841214509 PECOS PAC ID: 6103871413 Enrollment ID: I20050321000275 |
| Provider Name | James D Massey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831113687 PECOS PAC ID: 0446203012 Enrollment ID: I20050321000332 |
| Provider Name | Zakaria Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124144522 PECOS PAC ID: 6608848502 Enrollment ID: I20050328000531 |
| Provider Name | Michelle L Cheloha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083637409 PECOS PAC ID: 1355378498 Enrollment ID: I20050720001024 |
| Provider Name | Sriram Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20050726001099 |
| Provider Name | Harvey Hopkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871597583 PECOS PAC ID: 5395708416 Enrollment ID: I20051114000937 |
| Provider Name | Timothy J Friedlein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619086345 PECOS PAC ID: 5395764401 Enrollment ID: I20051117000924 |
| Provider Name | Jeffrey E Jarrett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023026663 PECOS PAC ID: 2163431420 Enrollment ID: I20060413000509 |
| Provider Name | John F Trapp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477522464 PECOS PAC ID: 1557374865 Enrollment ID: I20060802000500 |
| Provider Name | Douglas Fiedler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215976147 PECOS PAC ID: 2668428814 Enrollment ID: I20060823000596 |
| Provider Name | Elizabeth A Clemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386795821 PECOS PAC ID: 1355343872 Enrollment ID: I20070212000456 |
| Provider Name | Omar F Jimenez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154351930 PECOS PAC ID: 7416977459 Enrollment ID: I20070913000434 |
| Provider Name | Shane B Banks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871705210 PECOS PAC ID: 9436244233 Enrollment ID: I20071008000466 |
| Provider Name | Mary E Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750572095 PECOS PAC ID: 9537259288 Enrollment ID: I20071218000249 |
| Provider Name | Susan M Schuckert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669445573 PECOS PAC ID: 1254411960 Enrollment ID: I20080108000421 |
| Provider Name | Kevin J Reichmuth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073576229 PECOS PAC ID: 7618056813 Enrollment ID: I20080429000676 |
| Provider Name | Cynthia D Guerue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740295435 PECOS PAC ID: 0749357937 Enrollment ID: I20080930000738 |
| Provider Name | Mary M Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760489603 PECOS PAC ID: 1557439601 Enrollment ID: I20081002000671 |
| Provider Name | Patrick Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023025533 PECOS PAC ID: 9739257700 Enrollment ID: I20081003000250 |
| Provider Name | Mark R Scanlan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013933274 PECOS PAC ID: 1658449343 Enrollment ID: I20081008000237 |
| Provider Name | Tara A Longoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245246180 PECOS PAC ID: 0143398834 Enrollment ID: I20081008000294 |
| Provider Name | Rommie J Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427042910 PECOS PAC ID: 2365448982 Enrollment ID: I20081008000310 |
| Provider Name | Jeffrey A Holloway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609860196 PECOS PAC ID: 8729084348 Enrollment ID: I20081008000348 |
| Provider Name | Armando J Magana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932118312 PECOS PAC ID: 4789778416 Enrollment ID: I20081022000230 |
| Provider Name | Kathryn L Painter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851398796 PECOS PAC ID: 2062571656 Enrollment ID: I20081112000053 |
| Provider Name | Mark W Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947287 PECOS PAC ID: 9931258100 Enrollment ID: I20090518000421 |
| Provider Name | Holly F Dobrinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588893317 PECOS PAC ID: 2860546686 Enrollment ID: I20090813000375 |
| Provider Name | William E Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821094988 PECOS PAC ID: 6901796572 Enrollment ID: I20091102000500 |
| Provider Name | Roger C Ashmore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184620635 PECOS PAC ID: 9436049004 Enrollment ID: I20091105000198 |
| Provider Name | Anthony Doing |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235135708 PECOS PAC ID: 6608833876 Enrollment ID: I20091106000017 |
| Provider Name | Todd Whitsitt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457357824 PECOS PAC ID: 7315837978 Enrollment ID: I20091106000529 |
| Provider Name | Mayda M Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528393758 PECOS PAC ID: 1759429988 Enrollment ID: I20091110000036 |
| Provider Name | Charles P Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982600458 PECOS PAC ID: 0648160226 Enrollment ID: I20091119000013 |
| Provider Name | Charles Timothy Johnson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053317198 PECOS PAC ID: 8921998592 Enrollment ID: I20091211000506 |
| Provider Name | Stephen A Treat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013913482 PECOS PAC ID: 3577453133 Enrollment ID: I20100114000738 |
| Provider Name | Thomas Downes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245236371 PECOS PAC ID: 9537059100 Enrollment ID: I20100130000301 |
| Provider Name | Mark A Hartman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578695359 PECOS PAC ID: 0042357006 Enrollment ID: I20100319000081 |
| Provider Name | John E Blomstedt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538382528 PECOS PAC ID: 0143311886 Enrollment ID: I20100601000231 |
| Provider Name | Gary J Luckasen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063418572 PECOS PAC ID: 6800785049 Enrollment ID: I20100601000559 |
| Provider Name | Loren M Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619181062 PECOS PAC ID: 2961681416 Enrollment ID: I20110128001105 |
| Provider Name | Pamela Ann Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447397534 PECOS PAC ID: 5597940841 Enrollment ID: I20110429000621 |
| Provider Name | Jaimie A Clodfelter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609068824 PECOS PAC ID: 8527230291 Enrollment ID: I20111003000364 |
| Provider Name | Ryan Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790981082 PECOS PAC ID: 4183881568 Enrollment ID: I20120214000308 |
| Provider Name | Jina L Nemnich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811243801 PECOS PAC ID: 5496902553 Enrollment ID: I20120823000829 |
| Provider Name | Dacia D Oakeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013271246 PECOS PAC ID: 7517116882 Enrollment ID: I20121001000408 |
| Provider Name | Sapna Purawat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316668 PECOS PAC ID: 3375793045 Enrollment ID: I20121016000342 |
| Provider Name | Susan E Schoeneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386991636 PECOS PAC ID: 8921258948 Enrollment ID: I20121026000551 |
| Provider Name | Erin Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144585225 PECOS PAC ID: 1052561057 Enrollment ID: I20121029000652 |
| Provider Name | Maribeth Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710220652 PECOS PAC ID: 2769620517 Enrollment ID: I20130606000245 |
| Provider Name | Michael O Arisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235360058 PECOS PAC ID: 8325280605 Enrollment ID: I20130815000923 |
| Provider Name | Abeera Mansur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033541610 PECOS PAC ID: 6709010770 Enrollment ID: I20131004000379 |
| Provider Name | Wendy S Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003045014 PECOS PAC ID: 1658505391 Enrollment ID: I20131011000169 |
| Provider Name | Adeel Bashir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538472659 PECOS PAC ID: 6204061310 Enrollment ID: I20131025001674 |
| Provider Name | Ana L Delgado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124276886 PECOS PAC ID: 6901074707 Enrollment ID: I20131028000923 |
| Provider Name | Lindsey M Mosel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336467364 PECOS PAC ID: 5799911152 Enrollment ID: I20131113002209 |
| Provider Name | Jason Reed - Lee Latowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902070444 PECOS PAC ID: 3678715711 Enrollment ID: I20140515000360 |
| Provider Name | Steve N Dong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760666499 PECOS PAC ID: 5294967667 Enrollment ID: I20150109001778 |
| Provider Name | Aura M Ardon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780839787 PECOS PAC ID: 2365600285 Enrollment ID: I20150209001353 |
| Provider Name | Neeta Lal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316252802 PECOS PAC ID: 9335378835 Enrollment ID: I20150219000715 |
| Provider Name | Alice Fillingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419619 PECOS PAC ID: 0345565073 Enrollment ID: I20150220001245 |
| Provider Name | Stuart H Myers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407059546 PECOS PAC ID: 3375779200 Enrollment ID: I20150903000682 |
| Provider Name | Brooke A Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018638 PECOS PAC ID: 6800199506 Enrollment ID: I20160128002369 |
| Provider Name | Tiann M Colwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632912 PECOS PAC ID: 1355644006 Enrollment ID: I20160129001324 |
| Provider Name | Talon C Maningas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487971008 PECOS PAC ID: 7113173477 Enrollment ID: I20160201002194 |
| Provider Name | Kathleen C Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801022967 PECOS PAC ID: 0244489102 Enrollment ID: I20160309001513 |
| Provider Name | Keri D Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114371861 PECOS PAC ID: 6406155258 Enrollment ID: I20160428000898 |
| Provider Name | Brooke Nicole Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033556113 PECOS PAC ID: 7214226448 Enrollment ID: I20160512001992 |
| Provider Name | Brittany Rose Eirich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225393390 PECOS PAC ID: 6901023175 Enrollment ID: I20160607000053 |
| Provider Name | Victoria Kogan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730412412 PECOS PAC ID: 0143354613 Enrollment ID: I20160627001408 |
| Provider Name | Song Md Hong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043311806 PECOS PAC ID: 9537129390 Enrollment ID: I20160725001590 |
| Provider Name | Evan Schmitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649471947 PECOS PAC ID: 5799886115 Enrollment ID: I20160920002859 |
| Provider Name | Mary B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386005817 PECOS PAC ID: 3274829650 Enrollment ID: I20170120001223 |
| Provider Name | Robert J Gunderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598748907 PECOS PAC ID: 7214926500 Enrollment ID: I20170214000252 |
| Provider Name | Brennan Mosch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215356217 PECOS PAC ID: 1759508138 Enrollment ID: I20170815003592 |
| Provider Name | Aliaksei Lis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538575451 PECOS PAC ID: 1759689789 Enrollment ID: I20170821002254 |
| Provider Name | Daniel Loren Faaborg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265724470 PECOS PAC ID: 2860764115 Enrollment ID: I20170821002678 |
| Provider Name | Serozan Amroliwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336553890 PECOS PAC ID: 4880984301 Enrollment ID: I20170921002743 |
| Provider Name | Haley M Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346766748 PECOS PAC ID: 3274808068 Enrollment ID: I20171004001508 |
| Provider Name | Amber R Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720503766 PECOS PAC ID: 8022384288 Enrollment ID: I20171017000411 |
| Provider Name | Laura Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891204624 PECOS PAC ID: 1456627413 Enrollment ID: I20171019001971 |
| Provider Name | Jacquelynn M Gould |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588799639 PECOS PAC ID: 5395811376 Enrollment ID: I20180410003003 |
| Provider Name | Rajendra Motwani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013950740 PECOS PAC ID: 7810886272 Enrollment ID: I20180618002847 |
| Provider Name | Kristin Lee Harkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619298635 PECOS PAC ID: 5597911941 Enrollment ID: I20180831000474 |
| Provider Name | Nancy J Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295201077 PECOS PAC ID: 2062756927 Enrollment ID: I20181203003424 |
| Provider Name | Danelle Jo Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922354141 PECOS PAC ID: 5799933719 Enrollment ID: I20181221002445 |
| Provider Name | Sherri L Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235608928 PECOS PAC ID: 9133465628 Enrollment ID: I20190103001580 |
| Provider Name | Adrian Padilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255618328 PECOS PAC ID: 3173782257 Enrollment ID: I20190315000379 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20190409003645 |
| Provider Name | Bradley K Hertzler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780003293 PECOS PAC ID: 4284914706 Enrollment ID: I20190808000103 |
| Provider Name | Saed Awadallah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487092128 PECOS PAC ID: 1456641695 Enrollment ID: I20190821002439 |
| Provider Name | Like He |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497980056 PECOS PAC ID: 1658543954 Enrollment ID: I20190821002456 |
| Provider Name | Ruba Sarsour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558628743 PECOS PAC ID: 6507165529 Enrollment ID: I20190821002527 |
| Provider Name | Leslie S Cavazos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629362371 PECOS PAC ID: 0840502878 Enrollment ID: I20190821002795 |
| Provider Name | Siddhi Piyush Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609253889 PECOS PAC ID: 0941505374 Enrollment ID: I20191014003287 |
| Provider Name | Hamza Mancy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497119382 PECOS PAC ID: 7810228269 Enrollment ID: I20191023001920 |
| Provider Name | Jamie Michelle Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770075129 PECOS PAC ID: 1254677255 Enrollment ID: I20191106000767 |
| Provider Name | Ramzyeh A Kaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20200106001172 |
| Provider Name | Ana Cerrato-young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720327752 PECOS PAC ID: 2567899800 Enrollment ID: I20200225003047 |
| Provider Name | Nathan F E Ullrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518067339 PECOS PAC ID: 0941233399 Enrollment ID: I20200303001509 |
| Provider Name | Paula Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831729862 PECOS PAC ID: 8628406253 Enrollment ID: I20200314000060 |
| Provider Name | Emily M Stull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598301376 PECOS PAC ID: 5991135790 Enrollment ID: I20200418000519 |
| Provider Name | Karissa A Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740501121 PECOS PAC ID: 4385966142 Enrollment ID: I20200602000737 |
| Provider Name | Jason A James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689737520 PECOS PAC ID: 9133217052 Enrollment ID: I20200727001823 |
| Provider Name | Saketh Ram Guntupalli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922232172 PECOS PAC ID: 0244360253 Enrollment ID: I20200729002318 |
| Provider Name | Mary E Engel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982213674 PECOS PAC ID: 0345668281 Enrollment ID: I20200909003182 |
| Provider Name | Melissa D Koenig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629142450 PECOS PAC ID: 8628160801 Enrollment ID: I20210202003013 |
| Provider Name | David A. Oberlander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790860716 PECOS PAC ID: 6709786395 Enrollment ID: I20210223002251 |
| Provider Name | Megan L Fankhauser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003171158 PECOS PAC ID: 1456597921 Enrollment ID: I20210224000109 |
| Provider Name | Diana C Medgyesy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083660708 PECOS PAC ID: 7416849476 Enrollment ID: I20210309000782 |
| Provider Name | Joshua S Sole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013228402 PECOS PAC ID: 8820268014 Enrollment ID: I20210311002042 |
| Provider Name | Lisa A Ostendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326458019 PECOS PAC ID: 9234548322 Enrollment ID: I20210430000961 |
| Provider Name | Abbie Fulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372328 PECOS PAC ID: 9335548387 Enrollment ID: I20210525002111 |
| Provider Name | Megan M Collins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013404086 PECOS PAC ID: 2264837186 Enrollment ID: I20210816002145 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20210816002340 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20210816002419 |
| Provider Name | Rojay Rinaldo Passley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497321483 PECOS PAC ID: 8224433875 Enrollment ID: I20210820000756 |
| Provider Name | Bashar A Mohsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114953650 PECOS PAC ID: 0648275917 Enrollment ID: I20210917000339 |
| Provider Name | Kenneth Robert Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265594733 PECOS PAC ID: 6800831520 Enrollment ID: I20210929000356 |
| Provider Name | Kara Plett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710553680 PECOS PAC ID: 4385032861 Enrollment ID: I20211103000261 |
| Provider Name | Eduardo Gonzalez Barreda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952614760 PECOS PAC ID: 8527388867 Enrollment ID: I20211220002097 |
| Provider Name | Katrina M Pack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144517947 PECOS PAC ID: 7719117571 Enrollment ID: I20211228001501 |
| Provider Name | Craig Robson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043495948 PECOS PAC ID: 4981999349 Enrollment ID: I20220216001179 |
| Provider Name | Lori J Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689705915 PECOS PAC ID: 9234522178 Enrollment ID: I20220217000258 |
| Provider Name | Rahul R Malireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376988055 PECOS PAC ID: 8022304310 Enrollment ID: I20220303001438 |
| Provider Name | Rodney M Samuelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083875744 PECOS PAC ID: 2062552722 Enrollment ID: I20220315000780 |
| Provider Name | Caleb Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295269454 PECOS PAC ID: 6103242565 Enrollment ID: I20220321000451 |
| Provider Name | Luis Alberto Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588874085 PECOS PAC ID: 7113076571 Enrollment ID: I20220321000856 |
| Provider Name | Rehan Ahmed Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154843449 PECOS PAC ID: 1951633593 Enrollment ID: I20220322001141 |
| Provider Name | Martinson Ansah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629033246 PECOS PAC ID: 9234100322 Enrollment ID: I20220322002446 |
| Provider Name | Lynn M Mathew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346563335 PECOS PAC ID: 3577856046 Enrollment ID: I20220330000124 |
| Provider Name | Ross W Mcfarland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396721601 PECOS PAC ID: 8426120338 Enrollment ID: I20220330000150 |
| Provider Name | Oluwakemi Yetunde Fagbami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20220420000300 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20220609002475 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20220627001025 |
| Provider Name | Fareeha Siddiqui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104848720 PECOS PAC ID: 5890793368 Enrollment ID: I20220627001238 |
| Provider Name | Keyvan Amini Noghondar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316407745 PECOS PAC ID: 9436530441 Enrollment ID: I20220722000585 |
| Provider Name | Skyler Krystyn Westerfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255867115 PECOS PAC ID: 5799054607 Enrollment ID: I20220804000182 |
| Provider Name | Peter M Zonakis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083606834 PECOS PAC ID: 0042291924 Enrollment ID: I20220810000615 |
| Provider Name | Ammara Tariq Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447482096 PECOS PAC ID: 1557511862 Enrollment ID: I20220818001269 |
| Provider Name | Haitham M Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225534258 PECOS PAC ID: 3577946847 Enrollment ID: I20220818002733 |
| Provider Name | Michael D Stone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831177443 PECOS PAC ID: 3375682560 Enrollment ID: I20220909001459 |
| Provider Name | Marisa R Moroney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144619735 PECOS PAC ID: 8022374024 Enrollment ID: I20220912000345 |
| Provider Name | Srikanth Tamma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396936225 PECOS PAC ID: 7911059266 Enrollment ID: I20220923000825 |
| Provider Name | Shannon L Spors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194459875 PECOS PAC ID: 8224414198 Enrollment ID: I20220929001604 |
| Provider Name | Mohammed A Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396953485 PECOS PAC ID: 8123259561 Enrollment ID: I20221108003140 |
| Provider Name | Amber L Schulze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285358069 PECOS PAC ID: 2668841669 Enrollment ID: I20221214001698 |
| Provider Name | Jiuming Ye |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184614604 PECOS PAC ID: 2769549922 Enrollment ID: I20230207003007 |
| Provider Name | Tara L Mescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002495 PECOS PAC ID: 0648409185 Enrollment ID: I20230207003130 |
| Provider Name | Katrina Wright |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073501136 PECOS PAC ID: 6901831437 Enrollment ID: I20230213000203 |
| Provider Name | Samuel J Potolicchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114993367 PECOS PAC ID: 1557408846 Enrollment ID: I20230222000872 |
| Provider Name | Aaron R Rutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962745257 PECOS PAC ID: 4981845559 Enrollment ID: I20230307001497 |
| Provider Name | Kevin C Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427150796 PECOS PAC ID: 8729086822 Enrollment ID: I20230418002354 |
| Provider Name | Patricia Deisler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437127685 PECOS PAC ID: 7911928742 Enrollment ID: I20230607001892 |
| Provider Name | Justin Joe Stubbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881154243 PECOS PAC ID: 9335529916 Enrollment ID: I20230622001605 |
| Provider Name | Aubrey Mclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952095077 PECOS PAC ID: 0840658589 Enrollment ID: I20230628000329 |
| Provider Name | Ashley Satur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487331138 PECOS PAC ID: 6709246739 Enrollment ID: I20230721001212 |
| Provider Name | Austin Mcphilamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811212236 PECOS PAC ID: 2860633948 Enrollment ID: I20230822004307 |
| Provider Name | Adrian Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609558303 PECOS PAC ID: 8820451875 Enrollment ID: I20230824000986 |
| Provider Name | Vandankumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043743255 PECOS PAC ID: 8628468626 Enrollment ID: I20230824002113 |
| Provider Name | Kristine Soltanpour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992066294 PECOS PAC ID: 0143443515 Enrollment ID: I20230831001712 |
| Provider Name | Virginia Maria Tjan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104824630 PECOS PAC ID: 0345235867 Enrollment ID: I20240209003298 |
| Provider Name | Brooke Raines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093305443 PECOS PAC ID: 2567820004 Enrollment ID: I20240226001961 |
Donald E. Fischer, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Railway St, Scottsbluff, NE 69361 Phone: 308-632-0800 | |
Matthew Hutt Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2208 Broadway, Scottsbluff, NE 69361 Phone: 308-632-8080 Fax: 308-632-8084 | |
Educational Service Unit 13 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Avenue I, Scottsbluff, NE 69361 Phone: 308-635-3696 | |
Sober Mind Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 2nd Ave Ste 3, Scottsbluff, NE 69361 Phone: 308-633-4314 Fax: 308-633-9505 | |
Options In Psychology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2622 Avenue C, Scottsbluff, NE 69361 Phone: 308-632-8547 Fax: 308-632-0135 | |
Samuel Crouch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Railway St Ste A102, Scottsbluff, NE 69361 Phone: 308-225-0500 Fax: 308-365-6848 | |
Forward Thinking Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2621 5th Ave Ste 4, Scottsbluff, NE 69361 Phone: 308-230-0736 |