| Faith Regional Physician Services, Llc | |
|
110 N 29th St Suite 201 Norfolk NE 68701-4461 | |
| (402) 844-8385 | |
| (402) 844-8122 |
| Full Name | Faith Regional Physician Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 N 29th St, Norfolk, Nebraska |
| Authorized Official Name and Position | Brian Blecher (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4026447536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Regional Physician Services, Llc 110 N 29th St Suite 201 Norfolk NE 68701-4461 Ph: (402) 844-8385 | Faith Regional Physician Services, Llc 110 N 29th St Suite 201 Norfolk NE 68701-4461 Ph: (402) 844-8385 |
| NPI Number | 1265489157 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 5193786168 |
|---|---|
| Medicare Enrollment ID | O20041022000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265489157 | NPI | - | NPPES |
| Provider Name | Reyne Ann Viergutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487606653 PECOS PAC ID: 6901793595 Enrollment ID: I20040228000388 |
| Provider Name | Douglas A Dilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740266162 PECOS PAC ID: 1557355732 Enrollment ID: I20040412000532 |
| Provider Name | Maribeth Bobeldyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828364 PECOS PAC ID: 8921096033 Enrollment ID: I20040505001189 |
| Provider Name | Denise D Murry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881654176 PECOS PAC ID: 2062496250 Enrollment ID: I20040615001571 |
| Provider Name | Charles E Rowse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437101474 PECOS PAC ID: 3476528019 Enrollment ID: I20040827000824 |
| Provider Name | Mary A Alt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326076498 PECOS PAC ID: 6507834314 Enrollment ID: I20040920000987 |
| Provider Name | Jonathan V Weitzmann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548201643 PECOS PAC ID: 9638168354 Enrollment ID: I20041025000161 |
| Provider Name | Jason L Meister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356315642 PECOS PAC ID: 6800848052 Enrollment ID: I20050215001086 |
| Provider Name | Douglas V Welsh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336196161 PECOS PAC ID: 3072553130 Enrollment ID: I20050509000116 |
| Provider Name | Jami Michelle Doele |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548355233 PECOS PAC ID: 3072558345 Enrollment ID: I20050627001139 |
| Provider Name | Rajiv Ranjan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679520225 PECOS PAC ID: 4486684263 Enrollment ID: I20050822000551 |
| Provider Name | Brent M Premer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467428482 PECOS PAC ID: 2668484841 Enrollment ID: I20060707000313 |
| Provider Name | Thomas J Jerabek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568400059 PECOS PAC ID: 7810912805 Enrollment ID: I20060826000043 |
| Provider Name | David A Dramse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700901824 PECOS PAC ID: 0840399705 Enrollment ID: I20070619000348 |
| Provider Name | Jennifer A Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720138266 PECOS PAC ID: 7719086842 Enrollment ID: I20070629000520 |
| Provider Name | Hakam M Asaad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871603241 PECOS PAC ID: 0143311803 Enrollment ID: I20070809000375 |
| Provider Name | Jeffrey J Yosten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114977758 PECOS PAC ID: 8820084346 Enrollment ID: I20080425000657 |
| Provider Name | Lisa D Yosten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003867466 PECOS PAC ID: 6204822794 Enrollment ID: I20080425000664 |
| Provider Name | Mark W Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376626416 PECOS PAC ID: 3072685544 Enrollment ID: I20080630000067 |
| Provider Name | Ye Ye |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821216342 PECOS PAC ID: 4284706326 Enrollment ID: I20080707000084 |
| Provider Name | Wendi G Eisenbraun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417108333 PECOS PAC ID: 1052470945 Enrollment ID: I20081106000759 |
| Provider Name | Ajay Chander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598880098 PECOS PAC ID: 3779683354 Enrollment ID: I20081209000657 |
| Provider Name | Lisa L Mlnarik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700901477 PECOS PAC ID: 8224192406 Enrollment ID: I20090203000355 |
| Provider Name | Myles Gart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447368964 PECOS PAC ID: 5294637039 Enrollment ID: I20090608000418 |
| Provider Name | Muhammad Naser Imran |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922289651 PECOS PAC ID: 2668524240 Enrollment ID: I20090713000113 |
| Provider Name | Rachel L Tietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477789709 PECOS PAC ID: 1153474226 Enrollment ID: I20090806000789 |
| Provider Name | Jerry K Seiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396960811 PECOS PAC ID: 9739158064 Enrollment ID: I20090909000569 |
| Provider Name | Samuel J Recob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427218577 PECOS PAC ID: 7911050596 Enrollment ID: I20091111000155 |
| Provider Name | Wendell D Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861593071 PECOS PAC ID: 3375688203 Enrollment ID: I20100303000851 |
| Provider Name | Kecia A Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326006008 PECOS PAC ID: 9234265877 Enrollment ID: I20100407000337 |
| Provider Name | Lane T Handke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952398570 PECOS PAC ID: 7810053527 Enrollment ID: I20100427000800 |
| Provider Name | Mark O Mccorkindale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679528616 PECOS PAC ID: 9234021742 Enrollment ID: I20100527000210 |
| Provider Name | Anne M Kabes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710207550 PECOS PAC ID: 3274667498 Enrollment ID: I20100810000528 |
| Provider Name | Timothy L Davy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841279080 PECOS PAC ID: 1052487030 Enrollment ID: I20100812000168 |
| Provider Name | Kelsi B Krienert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063723955 PECOS PAC ID: 1951435676 Enrollment ID: I20100817001163 |
| Provider Name | Benjamin J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669427613 PECOS PAC ID: 7416088042 Enrollment ID: I20100915000021 |
| Provider Name | Troy L Swayze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013918358 PECOS PAC ID: 1153446828 Enrollment ID: I20100917000871 |
| Provider Name | Jean M Suehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861706756 PECOS PAC ID: 7315986262 Enrollment ID: I20100929000146 |
| Provider Name | Sharon A Gossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477539898 PECOS PAC ID: 7315042686 Enrollment ID: I20101008000133 |
| Provider Name | Angela F Smutny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174829220 PECOS PAC ID: 6204018310 Enrollment ID: I20110310000829 |
| Provider Name | Andrew J Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659663185 PECOS PAC ID: 2860678000 Enrollment ID: I20110524000047 |
| Provider Name | Eric T Rome |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982883476 PECOS PAC ID: 0143407429 Enrollment ID: I20110614000607 |
| Provider Name | Wendell E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881988970 PECOS PAC ID: 0941488639 Enrollment ID: I20110628000652 |
| Provider Name | Chandra K Ponniah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881858405 PECOS PAC ID: 2062681612 Enrollment ID: I20110816000521 |
| Provider Name | Tristan L Hartzell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1184797110 PECOS PAC ID: 7719156397 Enrollment ID: I20110817000016 |
| Provider Name | Travis P Jueden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801181532 PECOS PAC ID: 1658541917 Enrollment ID: I20110824000937 |
| Provider Name | Sandra J Qualset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508144270 PECOS PAC ID: 9133399785 Enrollment ID: I20110909002378 |
| Provider Name | Maryanne Hartzell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346208964 PECOS PAC ID: 6901974823 Enrollment ID: I20110913000761 |
| Provider Name | Abbie K Ray-deering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003078528 PECOS PAC ID: 2567633423 Enrollment ID: I20110926000413 |
| Provider Name | Paul S Christy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639283096 PECOS PAC ID: 3476728882 Enrollment ID: I20111214000315 |
| Provider Name | Camille A Kantai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720361314 PECOS PAC ID: 7214198589 Enrollment ID: I20120412000607 |
| Provider Name | Diane Corredor Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780903476 PECOS PAC ID: 2264563105 Enrollment ID: I20120605000458 |
| Provider Name | Rajkumar Yarlagadda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336358233 PECOS PAC ID: 7113105503 Enrollment ID: I20120723000281 |
| Provider Name | Christine A Chrisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053677344 PECOS PAC ID: 8123284510 Enrollment ID: I20120801000059 |
| Provider Name | Melissa S Dobbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083842686 PECOS PAC ID: 4183749302 Enrollment ID: I20120801000422 |
| Provider Name | Brenda M Liermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053671958 PECOS PAC ID: 9133375884 Enrollment ID: I20120816000104 |
| Provider Name | Michaela L Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265796304 PECOS PAC ID: 1153571401 Enrollment ID: I20121022000483 |
| Provider Name | Nathan Dg Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689987836 PECOS PAC ID: 5193977023 Enrollment ID: I20121128000586 |
| Provider Name | Stacy K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994325 PECOS PAC ID: 7416109350 Enrollment ID: I20121128000740 |
| Provider Name | Jenna L Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851642466 PECOS PAC ID: 6800048463 Enrollment ID: I20121205000024 |
| Provider Name | Beth Ann Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427256213 PECOS PAC ID: 4688810591 Enrollment ID: I20130419000472 |
| Provider Name | Teresa M Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073856795 PECOS PAC ID: 5991942468 Enrollment ID: I20130501000339 |
| Provider Name | Nicholas F Boyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073775193 PECOS PAC ID: 5890938955 Enrollment ID: I20130821000850 |
| Provider Name | Muhammad I Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861659351 PECOS PAC ID: 9931342920 Enrollment ID: I20130823000101 |
| Provider Name | Jeremiah D Fleenor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750538575 PECOS PAC ID: 5395930929 Enrollment ID: I20130917000644 |
| Provider Name | Jason R Bailey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629366232 PECOS PAC ID: 3375767825 Enrollment ID: I20140624001141 |
| Provider Name | John J Lammli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780812248 PECOS PAC ID: 8628225513 Enrollment ID: I20140624001272 |
| Provider Name | Solomon A Connealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295029668 PECOS PAC ID: 2163647926 Enrollment ID: I20140710002091 |
| Provider Name | Bree S Almgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962758151 PECOS PAC ID: 6800044884 Enrollment ID: I20140715000468 |
| Provider Name | Sarah A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982952685 PECOS PAC ID: 1254557051 Enrollment ID: I20140731001732 |
| Provider Name | Mary P Kuehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093118325 PECOS PAC ID: 0244452761 Enrollment ID: I20141117000198 |
| Provider Name | Melinda S Heller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689070856 PECOS PAC ID: 5395068654 Enrollment ID: I20141218000785 |
| Provider Name | Fadi S Rzouq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639346083 PECOS PAC ID: 1557493004 Enrollment ID: I20150513000888 |
| Provider Name | Venkata B Kolli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629382148 PECOS PAC ID: 7719118371 Enrollment ID: I20150623000397 |
| Provider Name | Andrew J Linnaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649531856 PECOS PAC ID: 9830321181 Enrollment ID: I20150630002674 |
| Provider Name | Zackary B Gangwer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962768325 PECOS PAC ID: 6305068636 Enrollment ID: I20150702000245 |
| Provider Name | Sajan T Mahajan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275743627 PECOS PAC ID: 2769515709 Enrollment ID: I20150715000146 |
| Provider Name | Brian J Keegan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245591627 PECOS PAC ID: 4082847512 Enrollment ID: I20150720002087 |
| Provider Name | Brooke N Sherbeck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255723268 PECOS PAC ID: 4183939960 Enrollment ID: I20150824001172 |
| Provider Name | Robert J Langenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275573875 PECOS PAC ID: 8628123031 Enrollment ID: I20150923000912 |
| Provider Name | Tiffany N Wenande |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912389792 PECOS PAC ID: 9234448713 Enrollment ID: I20151023000828 |
| Provider Name | Gregory T Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518142124 PECOS PAC ID: 8527107424 Enrollment ID: I20160208001975 |
| Provider Name | Aaron R Braun |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821251083 PECOS PAC ID: 3274774294 Enrollment ID: I20160222000535 |
| Provider Name | Valerie S Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821452251 PECOS PAC ID: 3577862283 Enrollment ID: I20160502001808 |
| Provider Name | Timothy A Richey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174853725 PECOS PAC ID: 1052440377 Enrollment ID: I20160606001662 |
| Provider Name | Krishna Naag N Velagapudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578796207 PECOS PAC ID: 3971735614 Enrollment ID: I20160621001058 |
| Provider Name | Melissa R Sellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932559507 PECOS PAC ID: 0042502171 Enrollment ID: I20160712000060 |
| Provider Name | Joshua J Wenande |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710338538 PECOS PAC ID: 7012200397 Enrollment ID: I20160725000716 |
| Provider Name | Corinna L Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016838 PECOS PAC ID: 4789979766 Enrollment ID: I20160830001661 |
| Provider Name | Brooke Ann Cemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174983100 PECOS PAC ID: 9739478538 Enrollment ID: I20160929000879 |
| Provider Name | David T Schachter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861466567 PECOS PAC ID: 6002983160 Enrollment ID: I20161018000751 |
| Provider Name | Jillian F Vrbsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415777 PECOS PAC ID: 6204114598 Enrollment ID: I20161020000491 |
| Provider Name | Nathaniel R Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295270346 PECOS PAC ID: 2860773587 Enrollment ID: I20170111001247 |
| Provider Name | Richard J Bartl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316018906 PECOS PAC ID: 6608962204 Enrollment ID: I20170201000129 |
| Provider Name | Kinzie A Norris |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1891924809 PECOS PAC ID: 6800101783 Enrollment ID: I20170214000110 |
| Provider Name | Beethoven Brown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629034251 PECOS PAC ID: 5799881462 Enrollment ID: I20170313000762 |
| Provider Name | Robert I Prince |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003871690 PECOS PAC ID: 9133028764 Enrollment ID: I20170509001327 |
| Provider Name | Christine M Prince |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013075092 PECOS PAC ID: 1557306024 Enrollment ID: I20170524002931 |
| Provider Name | Tyler L Preszler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104954551 PECOS PAC ID: 6204104797 Enrollment ID: I20170626002120 |
| Provider Name | Rachel Irene Mason |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457641102 PECOS PAC ID: 2163792888 Enrollment ID: I20170727002934 |
| Provider Name | Angela Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730599762 PECOS PAC ID: 0042432171 Enrollment ID: I20170802001869 |
| Provider Name | Ashraf Jmeian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023443074 PECOS PAC ID: 4688997828 Enrollment ID: I20171003006468 |
| Provider Name | David Cockrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043245731 PECOS PAC ID: 5991984718 Enrollment ID: I20171009002918 |
| Provider Name | Jenny K Jenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417347196 PECOS PAC ID: 9133448384 Enrollment ID: I20171114000479 |
| Provider Name | Ashley M Hefner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255839726 PECOS PAC ID: 4082974894 Enrollment ID: I20180215001109 |
| Provider Name | Makayla L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750887311 PECOS PAC ID: 1951664259 Enrollment ID: I20180419002383 |
| Provider Name | Alicia M Mccabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952757536 PECOS PAC ID: 6305131665 Enrollment ID: I20180419002606 |
| Provider Name | Andrew J Baldwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336551571 PECOS PAC ID: 5698990315 Enrollment ID: I20180530002935 |
| Provider Name | Sahawat Tantikittichaikul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811339237 PECOS PAC ID: 2961700166 Enrollment ID: I20180604001795 |
| Provider Name | Hira Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023401247 PECOS PAC ID: 9931454154 Enrollment ID: I20180612001129 |
| Provider Name | Andrew Robert Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871908814 PECOS PAC ID: 5496976086 Enrollment ID: I20180618001664 |
| Provider Name | Joseph Edmund Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043625023 PECOS PAC ID: 3779703129 Enrollment ID: I20180618001706 |
| Provider Name | Alex K Laudenklos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023423928 PECOS PAC ID: 5991085474 Enrollment ID: I20180619003192 |
| Provider Name | Kaitlin G Brau |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780024380 PECOS PAC ID: 8224251343 Enrollment ID: I20180627000470 |
| Provider Name | Kay Ritzdorf Wieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083192462 PECOS PAC ID: 7113275256 Enrollment ID: I20180806001226 |
| Provider Name | Harjodh S Puar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154364412 PECOS PAC ID: 1557387941 Enrollment ID: I20180809001120 |
| Provider Name | Enas Al Zaghal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689014730 PECOS PAC ID: 0941558795 Enrollment ID: I20180810000095 |
| Provider Name | Jessica A Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760978779 PECOS PAC ID: 3072862663 Enrollment ID: I20180815000202 |
| Provider Name | Jenna Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124505029 PECOS PAC ID: 1254681752 Enrollment ID: I20180904002554 |
| Provider Name | Salman S Mehboob |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497841795 PECOS PAC ID: 9931207412 Enrollment ID: I20180921002790 |
| Provider Name | Aaron M Morgenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346537107 PECOS PAC ID: 7911134408 Enrollment ID: I20181101001182 |
| Provider Name | Nikki V Houlden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114486362 PECOS PAC ID: 7517208606 Enrollment ID: I20190418001916 |
| Provider Name | John A Aucar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141965 PECOS PAC ID: 2466450630 Enrollment ID: I20190424000786 |
| Provider Name | Jared Daniel Rickert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649686296 PECOS PAC ID: 0042516718 Enrollment ID: I20190620002617 |
| Provider Name | Ojbindra Kc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447601588 PECOS PAC ID: 0446542757 Enrollment ID: I20190621002306 |
| Provider Name | Punya H Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164875985 PECOS PAC ID: 7517203771 Enrollment ID: I20190624000098 |
| Provider Name | Anton Simorov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083020556 PECOS PAC ID: 1052530268 Enrollment ID: I20190715000653 |
| Provider Name | Bradley Mack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881259182 PECOS PAC ID: 7517293145 Enrollment ID: I20190719001447 |
| Provider Name | Nicholas P Basalay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538574421 PECOS PAC ID: 9436379898 Enrollment ID: I20190723000785 |
| Provider Name | Michael Patrick Woodbury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871856740 PECOS PAC ID: 2365762952 Enrollment ID: I20190821002713 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457369712 PECOS PAC ID: 1557352861 Enrollment ID: I20190822002811 |
| Provider Name | Afua D Ntem-mensah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588079586 PECOS PAC ID: 7214233121 Enrollment ID: I20190918000059 |
| Provider Name | Jaimee M Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831515261 PECOS PAC ID: 1153552484 Enrollment ID: I20191010001320 |
| Provider Name | Ronald J Beare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508895954 PECOS PAC ID: 8426049792 Enrollment ID: I20191213000985 |
| Provider Name | Jody A Herley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600271 PECOS PAC ID: 3870927759 Enrollment ID: I20191231001532 |
| Provider Name | Adam D Diediker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779564 PECOS PAC ID: 8527493097 Enrollment ID: I20200111000100 |
| Provider Name | Oluyemi Akin-olugbade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851555460 PECOS PAC ID: 3072776665 Enrollment ID: I20200121001803 |
| Provider Name | Kari K Uhlir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356981971 PECOS PAC ID: 1456787613 Enrollment ID: I20200206000500 |
| Provider Name | Brian R Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629612148 PECOS PAC ID: 3072948298 Enrollment ID: I20200219001738 |
| Provider Name | Zachary T Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952503807 PECOS PAC ID: 9436324860 Enrollment ID: I20200331002020 |
| Provider Name | Lynnea E Stines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275984338 PECOS PAC ID: 7416222807 Enrollment ID: I20200624002890 |
| Provider Name | Ryan N Houghton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386174449 PECOS PAC ID: 3173897667 Enrollment ID: I20200626000781 |
| Provider Name | Shelby Marlene Freudenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710502802 PECOS PAC ID: 1052734902 Enrollment ID: I20200710000170 |
| Provider Name | Chhabindra Nepal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447650817 PECOS PAC ID: 8224300066 Enrollment ID: I20200922000851 |
| Provider Name | Conrad Gibby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750624979 PECOS PAC ID: 3779832621 Enrollment ID: I20201030001894 |
| Provider Name | Mark P Shashikant |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053582270 PECOS PAC ID: 7315260833 Enrollment ID: I20201230001818 |
| Provider Name | Jill M Paulsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093988537 PECOS PAC ID: 1456430586 Enrollment ID: I20210122002213 |
| Provider Name | Kayla M Ellis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174944748 PECOS PAC ID: 1658786413 Enrollment ID: I20210209002080 |
| Provider Name | Brock M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932175114 PECOS PAC ID: 8820980832 Enrollment ID: I20210218001837 |
| Provider Name | Crystal C Lee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568053098 PECOS PAC ID: 9537575865 Enrollment ID: I20210310001763 |
| Provider Name | Joseph W Amo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053536359 PECOS PAC ID: 0648377846 Enrollment ID: I20210409001717 |
| Provider Name | Jesse A Hyde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073176921 PECOS PAC ID: 6709129661 Enrollment ID: I20210409001720 |
| Provider Name | Rachel E Majerus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437763042 PECOS PAC ID: 2769890508 Enrollment ID: I20210416000446 |
| Provider Name | Brooklee Tynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255783056 PECOS PAC ID: 3375942352 Enrollment ID: I20210524002210 |
| Provider Name | Mahmut Kaner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841654209 PECOS PAC ID: 0941594220 Enrollment ID: I20210604000521 |
| Provider Name | Manisha Koirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346778255 PECOS PAC ID: 4486054756 Enrollment ID: I20210609000703 |
| Provider Name | Ian L Engebretsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164911673 PECOS PAC ID: 1153673181 Enrollment ID: I20210726003064 |
| Provider Name | Mazhar Ali |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568428282 PECOS PAC ID: 7911994223 Enrollment ID: I20210811002881 |
| Provider Name | Jordan L Ochs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366823254 PECOS PAC ID: 7719291806 Enrollment ID: I20210816002043 |
| Provider Name | Brittni J Riibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497328298 PECOS PAC ID: 8820493745 Enrollment ID: I20210816002067 |
| Provider Name | Prakrity Urja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609251461 PECOS PAC ID: 4880973213 Enrollment ID: I20210817000358 |
| Provider Name | Shujaat Khalil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912381849 PECOS PAC ID: 9537412937 Enrollment ID: I20210817003309 |
| Provider Name | Sabu J George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942234208 PECOS PAC ID: 3779581202 Enrollment ID: I20210820001736 |
| Provider Name | Zara Fatima |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457735722 PECOS PAC ID: 7517259690 Enrollment ID: I20210830003316 |
| Provider Name | Staci C Brummels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904895 PECOS PAC ID: 2961809611 Enrollment ID: I20210922001366 |
| Provider Name | Jenna A Hilker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784960 PECOS PAC ID: 3375962004 Enrollment ID: I20210922001625 |
| Provider Name | Alissa C Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750057774 PECOS PAC ID: 2062801848 Enrollment ID: I20211117000341 |
| Provider Name | John Michael Lowery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215945928 PECOS PAC ID: 7315217809 Enrollment ID: I20211130000244 |
| Provider Name | Abby L Rockford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528724408 PECOS PAC ID: 0042601239 Enrollment ID: I20211223000265 |
| Provider Name | Kara Mcmachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376523126 PECOS PAC ID: 5193781326 Enrollment ID: I20211227000231 |
| Provider Name | Kaitlyn K Kracl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316619190 PECOS PAC ID: 4183018658 Enrollment ID: I20220225001623 |
| Provider Name | Michelle A Pittman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740460351 PECOS PAC ID: 5698865103 Enrollment ID: I20220411002364 |
| Provider Name | David J Keleny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891218079 PECOS PAC ID: 2769861137 Enrollment ID: I20220615003138 |
| Provider Name | Daniel Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194463059 PECOS PAC ID: 3072994235 Enrollment ID: I20220719001949 |
| Provider Name | Mellissa R Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568100725 PECOS PAC ID: 8628450475 Enrollment ID: I20220727000509 |
| Provider Name | Ronelle L Ruppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194476994 PECOS PAC ID: 0648652172 Enrollment ID: I20220801001211 |
| Provider Name | Mukund Kumar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659896694 PECOS PAC ID: 4284053208 Enrollment ID: I20220824000971 |
| Provider Name | William Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245415157 PECOS PAC ID: 5294807368 Enrollment ID: I20220915002833 |
| Provider Name | Jeff D Jensen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437598422 PECOS PAC ID: 6002040631 Enrollment ID: I20220921003553 |
| Provider Name | Jason L Ellingson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366535973 PECOS PAC ID: 0941220321 Enrollment ID: I20221109000144 |
| Provider Name | Kristi Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558078394 PECOS PAC ID: 2961871645 Enrollment ID: I20221220001816 |
| Provider Name | Paige Orwig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316567084 PECOS PAC ID: 5193196673 Enrollment ID: I20230119002088 |
| Provider Name | Kevin A. Yackley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447553938 PECOS PAC ID: 3173856911 Enrollment ID: I20230119002334 |
| Provider Name | Benjamin Gerun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023680519 PECOS PAC ID: 5799181731 Enrollment ID: I20230308000620 |
| Provider Name | Nicholas Finlinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376017459 PECOS PAC ID: 8729329842 Enrollment ID: I20230308000833 |
| Provider Name | Jana R Mullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043291115 PECOS PAC ID: 8022134329 Enrollment ID: I20230309000762 |
| Provider Name | Olivia Nwankwo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972965077 PECOS PAC ID: 8729406335 Enrollment ID: I20230317002273 |
| Provider Name | Pushpa K Mamtani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376527168 PECOS PAC ID: 9032160395 Enrollment ID: I20230320000708 |
| Provider Name | Josie L Grosz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578292868 PECOS PAC ID: 4880062884 Enrollment ID: I20230427002476 |
| Provider Name | Charles Wesley Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346246105 PECOS PAC ID: 3577720051 Enrollment ID: I20230502003241 |
| Provider Name | Johanna Delacroix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20230525000173 |
| Provider Name | William M Dalling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619369154 PECOS PAC ID: 5193008860 Enrollment ID: I20230614000890 |
| Provider Name | Emma Preusse Mirch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811558976 PECOS PAC ID: 7911237979 Enrollment ID: I20230803000805 |
| Provider Name | Ihsan Y Balkaya |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821592825 PECOS PAC ID: 1759636749 Enrollment ID: I20230824000386 |
| Provider Name | Jide O Omosewo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881991339 PECOS PAC ID: 5092991802 Enrollment ID: I20230921000521 |
| Provider Name | Ayoko Quevison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932888427 PECOS PAC ID: 1951757590 Enrollment ID: I20231102000801 |
| Provider Name | Sharise A Clemens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902879703 PECOS PAC ID: 3274526827 Enrollment ID: I20231106002561 |
| Provider Name | Wendell Gibby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487090528 PECOS PAC ID: 8123351269 Enrollment ID: I20231130002415 |
| Provider Name | Shelly L Rudloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598820912 PECOS PAC ID: 0547619686 Enrollment ID: I20231214000319 |
| Provider Name | Gena M Popken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148411 PECOS PAC ID: 5698124527 Enrollment ID: I20231218001142 |
| Provider Name | Kathryn L Kiepke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184212094 PECOS PAC ID: 0840640108 Enrollment ID: I20231228002231 |
| Provider Name | Jordan J Ahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942983689 PECOS PAC ID: 8224481478 Enrollment ID: I20240124002705 |
| Provider Name | Stephanie Yaa Annor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851820039 PECOS PAC ID: 4587075882 Enrollment ID: I20240205002610 |
| Provider Name | Vancy Zora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752359 PECOS PAC ID: 8527393834 Enrollment ID: I20240213000298 |
| Provider Name | Kain L Sparr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528555497 PECOS PAC ID: 4183068398 Enrollment ID: I20240215002528 |
| Provider Name | Amber C Hatchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861170482 PECOS PAC ID: 8426492109 Enrollment ID: I20240305003303 |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N 18th St, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N Cottonwood St, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S 3rd St, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Norfolk Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N 27th St Ste 1, Norfolk, NE 68701 Phone: 402-844-8000 Fax: 402-844-8045 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Vicki Ln, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd St, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 |