| Dr Mark Edward Shirley, DO | |
|
810 N 22nd St, Blair, NE 68008 | |
| (402) 426-2182 | |
| (402) 426-1190 |
| Full Name | Dr Mark Edward Shirley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 810 N 22nd St, Blair, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578504528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 179 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | 179 (Nebraska) | Primary |
| Entity Name | Memorial Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265408819 PECOS PAC ID: 0749190775 Enrollment ID: O20040202001065 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Lexington Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316016165 PECOS PAC ID: 2860415874 Enrollment ID: O20060105000221 |
| Entity Name | Community Medical Center, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881643484 PECOS PAC ID: 6608776943 Enrollment ID: O20061222000136 |
| Entity Name | Lexington Regional Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467417352 PECOS PAC ID: 2860415874 Enrollment ID: O20071129000331 |
| Entity Name | Millard Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912568999 PECOS PAC ID: 4486051422 Enrollment ID: O20210917002493 |
| Entity Name | Papillion Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346822178 PECOS PAC ID: 1759789951 Enrollment ID: O20211001000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Shirley, DO 810 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-2182 | Dr Mark Edward Shirley, DO 810 N 22nd St, Blair, NE 68008 Ph: (402) 426-2182 |
Richard K Ward, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 Phone: 402-426-2182 Fax: 402-426-1297 | |
John Steigner, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 810 N 22nd St, Memorial Community Hospital Corporation, Blair, NE 68008 Phone: 402-426-2182 Fax: 402-426-1190 |