| Hcmc Clinic - Non-rhc | |
|
1113 Sherman St Saint Paul NE 68873 | |
| (308) 754-4421 | |
| (308) 754-2303 |
| Full Name | Hcmc Clinic - Non-rhc |
|---|---|
| Speciality | Family Medicine |
| Location | 1113 Sherman St, Saint Paul, Nebraska |
| Authorized Official Name and Position | Morgan Meyer (CFO) |
| Authorized Official Contact | 3087544421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcmc Clinic - Non-rhc 1113 Sherman St P.o. Box 406 Saint Paul NE 68873-0406 Ph: (308) 754-4421 | Hcmc Clinic - Non-rhc 1113 Sherman St Saint Paul NE 68873 Ph: (308) 754-4421 |
| NPI Number | 1154626216 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Medicare PECOS PAC ID | 5698775849 |
|---|---|
| Medicare Enrollment ID | O20110614000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154626216 | NPI | - | NPPES |
| 47080823500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mark E Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578504528 PECOS PAC ID: 8921092453 Enrollment ID: I20040408001082 |
| Provider Name | Vanessa K Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356363691 PECOS PAC ID: 7719978733 Enrollment ID: I20040519001035 |
| Provider Name | Thomas Fennessy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356357149 PECOS PAC ID: 3870589526 Enrollment ID: I20040519001391 |
| Provider Name | Jared Steven Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134105463 PECOS PAC ID: 3274505201 Enrollment ID: I20040810001371 |
| Provider Name | Kavir Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467444588 PECOS PAC ID: 6608848296 Enrollment ID: I20040812001096 |
| Provider Name | Christopher W Tomhave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558347849 PECOS PAC ID: 5395709885 Enrollment ID: I20041115000946 |
| Provider Name | Sriram Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20050726001099 |
| Provider Name | Angela S Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063451888 PECOS PAC ID: 0446257182 Enrollment ID: I20061023000268 |
| Provider Name | Todd a Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649208844 PECOS PAC ID: 8628044062 Enrollment ID: I20090128000088 |
| Provider Name | Kelli a Platek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538482690 PECOS PAC ID: 9739216698 Enrollment ID: I20100423000715 |
| Provider Name | Marcus J Nielsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821311853 PECOS PAC ID: 6406983287 Enrollment ID: I20100427000766 |
| Provider Name | Lori J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316278419 PECOS PAC ID: 8729118617 Enrollment ID: I20100621000428 |
| Provider Name | Chad L Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285995175 PECOS PAC ID: 4385890029 Enrollment ID: I20120810000716 |
| Provider Name | Pravardhan R Birthi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013161082 PECOS PAC ID: 4385887926 Enrollment ID: I20130829000071 |
| Provider Name | Neal Hahn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043633506 PECOS PAC ID: 6709016967 Enrollment ID: I20140308000276 |
| Provider Name | Scott M Reifschneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629471081 PECOS PAC ID: 4486977998 Enrollment ID: I20150921001484 |
| Provider Name | Jennifer M Leiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407394935 PECOS PAC ID: 7113202045 Enrollment ID: I20170316000181 |
| Provider Name | Erica K Eberle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144751769 PECOS PAC ID: 7416224134 Enrollment ID: I20170601000665 |
| Provider Name | Kaitlin D Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972959823 PECOS PAC ID: 1759676042 Enrollment ID: I20180306002631 |
| Provider Name | Adam M Rensch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366822777 PECOS PAC ID: 5991000499 Enrollment ID: I20180319001458 |
| Provider Name | Santosh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265695241 PECOS PAC ID: 1951570092 Enrollment ID: I20200116000260 |
| Provider Name | Imad N Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20210308000685 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20210311000857 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20210406000321 |
| Provider Name | Stephen a Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20220926000456 |
| Provider Name | Dolly Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20221201001923 |
| Provider Name | Nekita Nicole Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306566187 PECOS PAC ID: 8325419062 Enrollment ID: I20230117002542 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230923000527 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20240126000209 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858548 PECOS PAC ID: 7618297441 Enrollment ID: I20240201002925 |
| Provider Name | David W Fairbanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700989969 PECOS PAC ID: 8325028830 Enrollment ID: I20240911002343 |
| Provider Name | Adam Mednick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922015643 PECOS PAC ID: 8426140617 Enrollment ID: I20250418001828 |
| Provider Name | Dongyup Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831713221 PECOS PAC ID: 5193149144 Enrollment ID: I20250516001407 |
| Provider Name | Mary Lee Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487860011 PECOS PAC ID: 9436663341 Enrollment ID: I20250710002559 |
| Provider Name | Jessica Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033095179 PECOS PAC ID: 4486141207 Enrollment ID: I20251015002537 |
| Provider Name | Jennifer L Antholz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780935569 PECOS PAC ID: 3173093176 Enrollment ID: I20260601001419 |
Howard County Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 Sherman St, Saint Paul, NE 68873 Phone: 308-754-4421 Fax: 308-754-2303 |
Howard County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Kendall Street, Saint Paul, NE 68873 Phone: 308-754-5447 Fax: 308-754-5449 |
Howard County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Sherman St, Saint Paul, NE 68873 Phone: 308-754-4421 Fax: 308-754-2303 |