| Methodist Fremont Health Professional Services | |
|
450 E 23rd St, Fremont, NE 68025-2387 | |
| (402) 721-1610 | |
| (402) 727-3433 |
| Full Name | Methodist Fremont Health Professional Services |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 450 E 23rd St, Fremont, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235618216 | NPI | - | NPPES |
| Provider Name | Kristie Kay Magnino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811066327 PECOS PAC ID: 0446156962 Enrollment ID: I20031208000356 |
| Provider Name | Palvannanathan Ganesan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891716718 PECOS PAC ID: 8729988480 Enrollment ID: I20040219000054 |
| Provider Name | Darin E Jackson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265567267 PECOS PAC ID: 3173516671 Enrollment ID: I20040408000008 |
| Provider Name | Alexander B Bernal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912972266 PECOS PAC ID: 9335139294 Enrollment ID: I20040513001144 |
| Provider Name | Joseph Auxier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760409445 PECOS PAC ID: 3476525718 Enrollment ID: I20040809000347 |
| Provider Name | Richard J Seitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427023993 PECOS PAC ID: 3173595337 Enrollment ID: I20040809000517 |
| Provider Name | Alan G Torell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124139670 PECOS PAC ID: 9234191321 Enrollment ID: I20041101000730 |
| Provider Name | Gregory S. Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982714978 PECOS PAC ID: 0143117796 Enrollment ID: I20041112000979 |
| Provider Name | Diana L. Nevins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033228051 PECOS PAC ID: 3779548474 Enrollment ID: I20041122000974 |
| Provider Name | Deborah A Perry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093825929 PECOS PAC ID: 4880651322 Enrollment ID: I20041215000973 |
| Provider Name | Mary Louise Schlautman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063581585 PECOS PAC ID: 7810948841 Enrollment ID: I20050207000682 |
| Provider Name | Edwin C Schafer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770558959 PECOS PAC ID: 2860444072 Enrollment ID: I20050216000377 |
| Provider Name | Jeffrey N Hawthorne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356391296 PECOS PAC ID: 9537072343 Enrollment ID: I20050224000878 |
| Provider Name | Zakaria Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124144522 PECOS PAC ID: 6608848502 Enrollment ID: I20050328000531 |
| Provider Name | John C Mitchell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912972191 PECOS PAC ID: 1254323710 Enrollment ID: I20050415000872 |
| Provider Name | Cam Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821190752 PECOS PAC ID: 7416935168 Enrollment ID: I20050429000898 |
| Provider Name | Paul V Glowacki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740238559 PECOS PAC ID: 6507806411 Enrollment ID: I20050510001102 |
| Provider Name | Tyron A Alli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447225784 PECOS PAC ID: 1557353018 Enrollment ID: I20050706001035 |
| Provider Name | Erik N Schulte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245205202 PECOS PAC ID: 1951338243 Enrollment ID: I20050719000319 |
| Provider Name | Sriram Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20050726001099 |
| Provider Name | Tien Shew William Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578529376 PECOS PAC ID: 1456380609 Enrollment ID: I20050808000759 |
| Provider Name | Todd M Sauer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497764112 PECOS PAC ID: 2668401597 Enrollment ID: I20050810000863 |
| Provider Name | Douglas E Brouillette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013982370 PECOS PAC ID: 4385677509 Enrollment ID: I20050921000560 |
| Provider Name | William C Livingston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477528750 PECOS PAC ID: 3173556305 Enrollment ID: I20050921000693 |
| Provider Name | Andrea Lynn Flamme |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316996051 PECOS PAC ID: 5193744613 Enrollment ID: I20051114001234 |
| Provider Name | William J Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992856868 PECOS PAC ID: 1254353667 Enrollment ID: I20051229000308 |
| Provider Name | Brian W Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366494643 PECOS PAC ID: 9537174131 Enrollment ID: I20060220000181 |
| Provider Name | Angela C Sukstorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326092453 PECOS PAC ID: 8325055072 Enrollment ID: I20060321000535 |
| Provider Name | Trevor J Pearson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639123516 PECOS PAC ID: 7517978836 Enrollment ID: I20060525000029 |
| Provider Name | Jason J Cisler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720025463 PECOS PAC ID: 2860495132 Enrollment ID: I20060807000466 |
| Provider Name | Thomas J Jerabek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568400059 PECOS PAC ID: 7810912805 Enrollment ID: I20060826000043 |
| Provider Name | James L Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538154141 PECOS PAC ID: 2062416662 Enrollment ID: I20060913000473 |
| Provider Name | Ellen T Hutteger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841235413 PECOS PAC ID: 6002863891 Enrollment ID: I20060919000573 |
| Provider Name | Elizabeth M Belmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447289137 PECOS PAC ID: 0941206528 Enrollment ID: I20061005000218 |
| Provider Name | Sonya F Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528168564 PECOS PAC ID: 4183620867 Enrollment ID: I20061020000298 |
| Provider Name | Jill L Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558463166 PECOS PAC ID: 6002814720 Enrollment ID: I20061113000351 |
| Provider Name | Thomas A Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659305506 PECOS PAC ID: 2668360850 Enrollment ID: I20061229000277 |
| Provider Name | Bruce E Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891873220 PECOS PAC ID: 9436122637 Enrollment ID: I20070109000269 |
| Provider Name | Curtis L Batten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740390954 PECOS PAC ID: 5496756504 Enrollment ID: I20070116000292 |
| Provider Name | John H Hogue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831291699 PECOS PAC ID: 3577572320 Enrollment ID: I20070116000583 |
| Provider Name | Stephanie L Randall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134136443 PECOS PAC ID: 5698873768 Enrollment ID: I20070613000546 |
| Provider Name | Grant F Hutchins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629091988 PECOS PAC ID: 9537167408 Enrollment ID: I20070621000480 |
| Provider Name | Bryce H Lund |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992924443 PECOS PAC ID: 3870481112 Enrollment ID: I20070628000472 |
| Provider Name | John D. Gentry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477642205 PECOS PAC ID: 0749288041 Enrollment ID: I20070713000235 |
| Provider Name | Kimberly S Harmon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831226950 PECOS PAC ID: 5294836813 Enrollment ID: I20070726000729 |
| Provider Name | Lori A Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194911685 PECOS PAC ID: 6507954153 Enrollment ID: I20071114000445 |
| Provider Name | Christine P Hans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033168398 PECOS PAC ID: 0840377644 Enrollment ID: I20080403000267 |
| Provider Name | Shane K. Kohl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013105899 PECOS PAC ID: 1951474220 Enrollment ID: I20080718000654 |
| Provider Name | Todd W Stull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043289069 PECOS PAC ID: 0244393676 Enrollment ID: I20090112000603 |
| Provider Name | Michael L Aaronson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326014028 PECOS PAC ID: 7416948997 Enrollment ID: I20090114000380 |
| Provider Name | Mary Hutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407015779 PECOS PAC ID: 7214090901 Enrollment ID: I20090324000689 |
| Provider Name | Myles Gart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447368964 PECOS PAC ID: 5294637039 Enrollment ID: I20090608000418 |
| Provider Name | Timothy J Goc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598873002 PECOS PAC ID: 9537251533 Enrollment ID: I20090608000427 |
| Provider Name | John Joseph Cannella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619099629 PECOS PAC ID: 9739231440 Enrollment ID: I20090710000022 |
| Provider Name | Michael E Schafer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538240007 PECOS PAC ID: 7618029133 Enrollment ID: I20090715000032 |
| Provider Name | Jiri B. Bedrnicek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831352046 PECOS PAC ID: 1456403906 Enrollment ID: I20090715000291 |
| Provider Name | Amir Sasan Gholami |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942236807 PECOS PAC ID: 9032292495 Enrollment ID: I20090806000187 |
| Provider Name | Robert Bruce Thompson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528010196 PECOS PAC ID: 5294875472 Enrollment ID: I20091218000383 |
| Provider Name | Thomas R Mcginn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083689996 PECOS PAC ID: 6204874944 Enrollment ID: I20100118000008 |
| Provider Name | James H Sorrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255381158 PECOS PAC ID: 2365586278 Enrollment ID: I20100216000433 |
| Provider Name | Michele E Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356326359 PECOS PAC ID: 7416999867 Enrollment ID: I20100428000922 |
| Provider Name | Lee D Millward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528094299 PECOS PAC ID: 3779611215 Enrollment ID: I20100504000735 |
| Provider Name | Wayne R Markus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851478168 PECOS PAC ID: 3577693555 Enrollment ID: I20100618000036 |
| Provider Name | Lori J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316278419 PECOS PAC ID: 8729118617 Enrollment ID: I20100621000428 |
| Provider Name | Lance H Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659300986 PECOS PAC ID: 0749306892 Enrollment ID: I20100925000289 |
| Provider Name | Teresa A Karre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801057088 PECOS PAC ID: 0941376768 Enrollment ID: I20110414000029 |
| Provider Name | Matthew M Mcmahon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528244845 PECOS PAC ID: 1456529312 Enrollment ID: I20110719000787 |
| Provider Name | Cherl D Mues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225326358 PECOS PAC ID: 2769653682 Enrollment ID: I20110923000591 |
| Provider Name | Lisa A Logsden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760650444 PECOS PAC ID: 8224205968 Enrollment ID: I20120119000818 |
| Provider Name | Michael H Hansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972829976 PECOS PAC ID: 8729110937 Enrollment ID: I20120409000136 |
| Provider Name | John D Franzen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952577249 PECOS PAC ID: 0244495760 Enrollment ID: I20120709000469 |
| Provider Name | Rashmi Ojha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407056476 PECOS PAC ID: 3072779743 Enrollment ID: I20120724000849 |
| Provider Name | Marc A Scheer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013194414 PECOS PAC ID: 2769638113 Enrollment ID: I20120817000299 |
| Provider Name | Becky L Corum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679917975 PECOS PAC ID: 9133367253 Enrollment ID: I20130531000505 |
| Provider Name | Charles H. Mosher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164492997 PECOS PAC ID: 0446492391 Enrollment ID: I20130806000655 |
| Provider Name | Rebecca A Ehlers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225233869 PECOS PAC ID: 5092873935 Enrollment ID: I20130827000854 |
| Provider Name | Benjamin S Hall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851556724 PECOS PAC ID: 0143453605 Enrollment ID: I20140709002104 |
| Provider Name | Helen O Fasanya-uptagraft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598920415 PECOS PAC ID: 1658528856 Enrollment ID: I20140715001859 |
| Provider Name | Jason D Ourada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922219989 PECOS PAC ID: 0143382440 Enrollment ID: I20140820000521 |
| Provider Name | Kathryn E Hutchins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013179696 PECOS PAC ID: 7214156330 Enrollment ID: I20140922001857 |
| Provider Name | Rachael E Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386043453 PECOS PAC ID: 0840411666 Enrollment ID: I20141021000420 |
| Provider Name | Elizabeth R Dunklau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194117481 PECOS PAC ID: 1456671353 Enrollment ID: I20150515001734 |
| Provider Name | Kent A Metschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881935450 PECOS PAC ID: 8325286750 Enrollment ID: I20150716000457 |
| Provider Name | Kylee V Stanley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619236379 PECOS PAC ID: 9335372663 Enrollment ID: I20150810000387 |
| Provider Name | Erin L Dahlke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134488554 PECOS PAC ID: 4385874361 Enrollment ID: I20150909003205 |
| Provider Name | Srinivas Katta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841428752 PECOS PAC ID: 4385878412 Enrollment ID: I20151022002229 |
| Provider Name | Cassie J Cowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962658419 PECOS PAC ID: 2668603812 Enrollment ID: I20151026001817 |
| Provider Name | Shelley C Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639555279 PECOS PAC ID: 0446569776 Enrollment ID: I20151027001694 |
| Provider Name | Christan H Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477874709 PECOS PAC ID: 5395879274 Enrollment ID: I20160222002023 |
| Provider Name | Sean Robert Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245677475 PECOS PAC ID: 2961634100 Enrollment ID: I20160519001273 |
| Provider Name | Peter A. Abasolo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609181387 PECOS PAC ID: 4880817527 Enrollment ID: I20160624001642 |
| Provider Name | Zachary J Schiffbauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760837512 PECOS PAC ID: 4082908462 Enrollment ID: I20160808001675 |
| Provider Name | Katrina M Longe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386965515 PECOS PAC ID: 1355620865 Enrollment ID: I20161123001789 |
| Provider Name | Jeffrey K Arnzen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124328224 PECOS PAC ID: 8022251677 Enrollment ID: I20170119002141 |
| Provider Name | Brittany Nichole Burbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737467 PECOS PAC ID: 4486937273 Enrollment ID: I20170201000782 |
| Provider Name | Kevin M Takakuwa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811912769 PECOS PAC ID: 4183603715 Enrollment ID: I20170210001479 |
| Provider Name | Janae M Dudgeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932514247 PECOS PAC ID: 1355646852 Enrollment ID: I20170620000502 |
| Provider Name | Kyle D Rose |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073811352 PECOS PAC ID: 9234409640 Enrollment ID: I20170718001929 |
| Provider Name | Todd C Eberle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003222043 PECOS PAC ID: 3375769391 Enrollment ID: I20170804001912 |
| Provider Name | Paige Lewis Pioppi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619406188 PECOS PAC ID: 8426320839 Enrollment ID: I20170821000634 |
| Provider Name | Jason Dinsmoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841602851 PECOS PAC ID: 0547482754 Enrollment ID: I20170830002218 |
| Provider Name | Rachel L Brock |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669614897 PECOS PAC ID: 8123242724 Enrollment ID: I20171229001586 |
| Provider Name | Andrea Marie Vacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507086 PECOS PAC ID: 1759643547 Enrollment ID: I20180314001101 |
| Provider Name | Brian W Cronstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285131375 PECOS PAC ID: 5890059026 Enrollment ID: I20180515003075 |
| Provider Name | Amber L Grob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215431556 PECOS PAC ID: 6709140957 Enrollment ID: I20180516000670 |
| Provider Name | Catherine T Stoos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578998654 PECOS PAC ID: 2961717863 Enrollment ID: I20180524001645 |
| Provider Name | Alison J Laflan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487032066 PECOS PAC ID: 7113272386 Enrollment ID: I20180613000185 |
| Provider Name | Joseph Edmund Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043625023 PECOS PAC ID: 3779703129 Enrollment ID: I20180618001706 |
| Provider Name | Eileen M Dineen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477049013 PECOS PAC ID: 2062769920 Enrollment ID: I20180724000570 |
| Provider Name | Bradly Zurek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528478591 PECOS PAC ID: 2062714041 Enrollment ID: I20181217002544 |
| Provider Name | Kenneth M Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457832677 PECOS PAC ID: 4486990843 Enrollment ID: I20190107002551 |
| Provider Name | Jordan D Holmes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518130624 PECOS PAC ID: 9032376769 Enrollment ID: I20190319002605 |
| Provider Name | Alan W. Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306295977 PECOS PAC ID: 0840585998 Enrollment ID: I20190516002947 |
| Provider Name | Amber C Juricek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597364 PECOS PAC ID: 0345579256 Enrollment ID: I20190830002761 |
| Provider Name | Amanda N Berkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316590326 PECOS PAC ID: 1951630458 Enrollment ID: I20190909003256 |
| Provider Name | Rachael N. Bruechert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366097610 PECOS PAC ID: 5890024301 Enrollment ID: I20190909003620 |
| Provider Name | Douglas R Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922660828 PECOS PAC ID: 3678804614 Enrollment ID: I20191007000607 |
| Provider Name | Kaitlin Nicole Desoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223943 PECOS PAC ID: 3173854734 Enrollment ID: I20191011001646 |
| Provider Name | Chelsea A Hamzhie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699322529 PECOS PAC ID: 6305178179 Enrollment ID: I20191028002255 |
| Provider Name | Mary M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790105948 PECOS PAC ID: 6204262363 Enrollment ID: I20200208000074 |
| Provider Name | Jacqueline M Stanzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104465491 PECOS PAC ID: 4688001464 Enrollment ID: I20200218001280 |
| Provider Name | Samantha K Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972147908 PECOS PAC ID: 1658702360 Enrollment ID: I20200513002286 |
| Provider Name | James M Tiehen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992238026 PECOS PAC ID: 6103196712 Enrollment ID: I20200513002349 |
| Provider Name | Andrew R Kummer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033747738 PECOS PAC ID: 9739502170 Enrollment ID: I20200702000244 |
| Provider Name | Sara J. Rutter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831501188 PECOS PAC ID: 8820324148 Enrollment ID: I20200707002740 |
| Provider Name | Jaclyn E Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023631934 PECOS PAC ID: 4880010537 Enrollment ID: I20200812002989 |
| Provider Name | Elliott J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124548334 PECOS PAC ID: 7719251131 Enrollment ID: I20200814001081 |
| Provider Name | Rebecca K Vanwinkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952927139 PECOS PAC ID: 5890112288 Enrollment ID: I20200831002426 |
| Provider Name | Audrey Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396346987 PECOS PAC ID: 9133539703 Enrollment ID: I20201110002905 |
| Provider Name | Tyler James Ronnfeldt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083134878 PECOS PAC ID: 0648544064 Enrollment ID: I20201118000880 |
| Provider Name | Jill Lynn Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487271854 PECOS PAC ID: 5395158596 Enrollment ID: I20210107001332 |
| Provider Name | Zachary J Beerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083219463 PECOS PAC ID: 2163836362 Enrollment ID: I20210129001482 |
| Provider Name | Hannah E Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939201 PECOS PAC ID: 3173938891 Enrollment ID: I20210210002061 |
| Provider Name | Madison N Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376118554 PECOS PAC ID: 2365841798 Enrollment ID: I20210604000458 |
| Provider Name | Brian T Westerhuis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689055428 PECOS PAC ID: 2961717160 Enrollment ID: I20210611000418 |
| Provider Name | Kenneth A Klein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736963 PECOS PAC ID: 9335040237 Enrollment ID: I20210617000385 |
| Provider Name | Regina Marie Plummer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265810287 PECOS PAC ID: 1951605260 Enrollment ID: I20210706003235 |
| Provider Name | Desa Mariah Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215519814 PECOS PAC ID: 2466854591 Enrollment ID: I20210713001295 |
| Provider Name | Nicholas V Thalken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841782976 PECOS PAC ID: 2365792181 Enrollment ID: I20210713002500 |
| Provider Name | Jennifer K Scranton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477129286 PECOS PAC ID: 3577965482 Enrollment ID: I20210715000938 |
| Provider Name | Max Chiu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649632019 PECOS PAC ID: 3375816440 Enrollment ID: I20210729003503 |
| Provider Name | Steven Olyejar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043285448 PECOS PAC ID: 3870530488 Enrollment ID: I20210901001520 |
| Provider Name | James G Pelton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558449918 PECOS PAC ID: 8426189606 Enrollment ID: I20210921001736 |
| Provider Name | Makenzie Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396330148 PECOS PAC ID: 7810386075 Enrollment ID: I20211110001621 |
| Provider Name | Jessica Monico Klaasmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801566641 PECOS PAC ID: 4688063472 Enrollment ID: I20211117000451 |
| Provider Name | Sheeva K Parbhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902223894 PECOS PAC ID: 8224330972 Enrollment ID: I20211214000167 |
| Provider Name | Jessica C Bortolotti Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962171090 PECOS PAC ID: 5890192470 Enrollment ID: I20220503001689 |
| Provider Name | Deepti Anna Jacob |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770933632 PECOS PAC ID: 8820389521 Enrollment ID: I20220902000893 |
| Provider Name | Benjamin Franzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841916483 PECOS PAC ID: 6406222090 Enrollment ID: I20221024000759 |
| Provider Name | Audai I Ma'ayah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538663315 PECOS PAC ID: 6204225899 Enrollment ID: I20230627001313 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20230628000309 |
| Provider Name | Ming-yang Hung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043715352 PECOS PAC ID: 0143552372 Enrollment ID: I20230718001221 |
| Provider Name | Tracey M Ehlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045472 PECOS PAC ID: 6305200064 Enrollment ID: I20230913002790 |
| Provider Name | Amanda T Calleroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598105256 PECOS PAC ID: 4789808510 Enrollment ID: I20231011003215 |
| Provider Name | Becki M Goldberg Kahn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124101902 PECOS PAC ID: 1759406143 Enrollment ID: I20231031003783 |
| Provider Name | Melinda Kay Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689079246 PECOS PAC ID: 5092154724 Enrollment ID: I20240415002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Fremont Health Professional Services Po Box 2797, Omaha, NE 68103-2797 Ph: (402) 354-4230 | Methodist Fremont Health Professional Services 450 E 23rd St, Fremont, NE 68025-2387 Ph: (402) 721-1610 |