| Platte Valley Medical Clinic, Llc | |
|
816 22nd Ave Suite 100 Kearney NE 68845-2206 | |
| (308) 865-2263 | |
| (308) 865-2541 |
| Full Name | Platte Valley Medical Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 816 22nd Ave Suite 100, Kearney, Nebraska |
| Authorized Official Name and Position | Tom Mcleod (ADMINISTRATOR) |
| Authorized Official Contact | 3088652263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platte Valley Medical Clinic, Llc 816 22nd Ave Suite 100 Kearney NE 68845-2206 Ph: (308) 865-2263 | Platte Valley Medical Clinic, Llc 816 22nd Ave Suite 100 Kearney NE 68845-2206 Ph: (308) 865-2263 |
| NPI Number | 1174932388 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 7517109408 |
|---|---|
| Medicare Enrollment ID | O20141029001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174932388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Nebraska) | Primary |
| Provider Name | Sean D Denney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710979950 PECOS PAC ID: 3274446612 Enrollment ID: I20031111000365 |
| Provider Name | Robert B Crandall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750383105 PECOS PAC ID: 9335044064 Enrollment ID: I20040323000534 |
| Provider Name | Jason D Walsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518971282 PECOS PAC ID: 6901895432 Enrollment ID: I20040510001406 |
| Provider Name | Michael C Bibler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831279132 PECOS PAC ID: 7618967456 Enrollment ID: I20040514000239 |
| Provider Name | Thomas Fennessy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356357149 PECOS PAC ID: 3870589526 Enrollment ID: I20040519001391 |
| Provider Name | David Gossat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295718153 PECOS PAC ID: 0345216941 Enrollment ID: I20040904000008 |
| Provider Name | Brent E Adamson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235132457 PECOS PAC ID: 4789641143 Enrollment ID: I20041222000581 |
| Provider Name | Ishrat A Saif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912018540 PECOS PAC ID: 9739135609 Enrollment ID: I20050323001071 |
| Provider Name | Steven G Lapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928817 PECOS PAC ID: 5799727889 Enrollment ID: I20050531000352 |
| Provider Name | Michael R Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205819455 PECOS PAC ID: 8820034531 Enrollment ID: I20050705000391 |
| Provider Name | Scott Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205819158 PECOS PAC ID: 7416933726 Enrollment ID: I20051214000452 |
| Provider Name | Annette S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306956727 PECOS PAC ID: 3476576950 Enrollment ID: I20060111000135 |
| Provider Name | Scot Bandel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497774137 PECOS PAC ID: 0547263535 Enrollment ID: I20060811000222 |
| Provider Name | Joseph D Boyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043277536 PECOS PAC ID: 0941200091 Enrollment ID: I20070130000722 |
| Provider Name | Melissa Stade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164543674 PECOS PAC ID: 2860592847 Enrollment ID: I20070703000634 |
| Provider Name | Bradley D Rodgers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154405926 PECOS PAC ID: 4880796390 Enrollment ID: I20070906000697 |
| Provider Name | Valerie S Fredericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871792069 PECOS PAC ID: 6305939075 Enrollment ID: I20070911000735 |
| Provider Name | Julie A Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437349511 PECOS PAC ID: 6305934282 Enrollment ID: I20071109000269 |
| Provider Name | Joel R Atchison |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902904576 PECOS PAC ID: 8022195502 Enrollment ID: I20080408000522 |
| Provider Name | Michele A Krieger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871696492 PECOS PAC ID: 5294806048 Enrollment ID: I20080620000665 |
| Provider Name | Antonio Caos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235195165 PECOS PAC ID: 2264483411 Enrollment ID: I20080729000668 |
| Provider Name | Mark Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629177530 PECOS PAC ID: 2567526940 Enrollment ID: I20090129000455 |
| Provider Name | Anthony F Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083873756 PECOS PAC ID: 3476691726 Enrollment ID: I20091106000543 |
| Provider Name | David E Cantral |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447233689 PECOS PAC ID: 7810077138 Enrollment ID: I20091202000373 |
| Provider Name | Kristin Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386627537 PECOS PAC ID: 5991885212 Enrollment ID: I20091202000401 |
| Provider Name | Jan C Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487637229 PECOS PAC ID: 4183704406 Enrollment ID: I20091202000413 |
| Provider Name | Russell G Hilliard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487688776 PECOS PAC ID: 4587715107 Enrollment ID: I20100108000760 |
| Provider Name | Robert C Messbarger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407883705 PECOS PAC ID: 2860543485 Enrollment ID: I20100108000811 |
| Provider Name | John A Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659373199 PECOS PAC ID: 3173665023 Enrollment ID: I20100115000306 |
| Provider Name | Thomas J Lanspa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780693846 PECOS PAC ID: 3476525627 Enrollment ID: I20100130000095 |
| Provider Name | Dennis D Hatch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770585200 PECOS PAC ID: 6507909488 Enrollment ID: I20100201000094 |
| Provider Name | Michael J Mcgahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235116963 PECOS PAC ID: 3779659883 Enrollment ID: I20100320000265 |
| Provider Name | David A Charles Sokolowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083798870 PECOS PAC ID: 6608978119 Enrollment ID: I20100622000887 |
| Provider Name | Chadd Scott Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134203920 PECOS PAC ID: 9436251949 Enrollment ID: I20100622000895 |
| Provider Name | Deena Renae Sughroue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265516025 PECOS PAC ID: 2466557723 Enrollment ID: I20100622000929 |
| Provider Name | Dawn Marie Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316021108 PECOS PAC ID: 0345342853 Enrollment ID: I20100624000895 |
| Provider Name | Cortney A Geisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902119225 PECOS PAC ID: 5991990897 Enrollment ID: I20101117000090 |
| Provider Name | Chris E Wilkinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396748505 PECOS PAC ID: 6800849753 Enrollment ID: I20120104000795 |
| Provider Name | George Sami Kassis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720217326 PECOS PAC ID: 3274782263 Enrollment ID: I20121008000382 |
| Provider Name | Randall Lee Goldfish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238732 PECOS PAC ID: 8123279221 Enrollment ID: I20121120000272 |
| Provider Name | Lauren Huckabee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275949596 PECOS PAC ID: 3173834090 Enrollment ID: I20150618002910 |
| Provider Name | Peter C Anaradian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518221035 PECOS PAC ID: 5799917092 Enrollment ID: I20150707001921 |
| Provider Name | Taya Nicole Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386097467 PECOS PAC ID: 6901191451 Enrollment ID: I20160823000590 |
| Provider Name | Alla Liberstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164613899 PECOS PAC ID: 7911086707 Enrollment ID: I20160920001809 |
| Provider Name | Wiaam Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487103198 PECOS PAC ID: 6709165574 Enrollment ID: I20161118000300 |
| Provider Name | Inam U Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619048733 PECOS PAC ID: 4183649718 Enrollment ID: I20161212002103 |
| Provider Name | Dennis R Burrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467615542 PECOS PAC ID: 8527129238 Enrollment ID: I20161221001783 |
| Provider Name | Rahul Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548216567 PECOS PAC ID: 9537065883 Enrollment ID: I20170201001916 |
| Provider Name | Andrew Prososki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154703353 PECOS PAC ID: 2961719703 Enrollment ID: I20170404000231 |
| Provider Name | Kassandra M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538548243 PECOS PAC ID: 2567778087 Enrollment ID: I20170808000238 |
| Provider Name | Stephanie L Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295134385 PECOS PAC ID: 9335461581 Enrollment ID: I20170815003051 |
| Provider Name | Joshua R Sloan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508276742 PECOS PAC ID: 9133418775 Enrollment ID: I20170830000459 |
| Provider Name | Lowell D Barrowes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720066491 PECOS PAC ID: 0749174282 Enrollment ID: I20170925000585 |
| Provider Name | Oluwakunle Oluwatosin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396912796 PECOS PAC ID: 1557439262 Enrollment ID: I20180502002570 |
| Provider Name | Jacob M Oran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407294010 PECOS PAC ID: 4789807520 Enrollment ID: I20180625002340 |
| Provider Name | Kelsey Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393604 PECOS PAC ID: 3274885504 Enrollment ID: I20181015000714 |
| Provider Name | Deborah A Weems |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477521995 PECOS PAC ID: 7517989155 Enrollment ID: I20181112001457 |
| Provider Name | Gopikrishnan Vasudevan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760410823 PECOS PAC ID: 0244390920 Enrollment ID: I20190218001471 |
| Provider Name | Brandi Jo Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881001840 PECOS PAC ID: 6103141957 Enrollment ID: I20190320001598 |
| Provider Name | Matthew Wheeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265608939 PECOS PAC ID: 0648493551 Enrollment ID: I20190613000400 |
| Provider Name | David Prothro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942208426 PECOS PAC ID: 1254395171 Enrollment ID: I20191016001195 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20200717000622 |
| Provider Name | Deann Marie Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508476847 PECOS PAC ID: 5395156293 Enrollment ID: I20201125001451 |
| Provider Name | Dynae Chere' Pofahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447710942 PECOS PAC ID: 1850704834 Enrollment ID: I20210112001880 |
| Provider Name | Young Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700207941 PECOS PAC ID: 9133446990 Enrollment ID: I20210302002007 |
| Provider Name | Linda M Ferrer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295113439 PECOS PAC ID: 6002116290 Enrollment ID: I20210715002578 |
| Provider Name | Natasha Nicole Kelley-wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447924758 PECOS PAC ID: 6002213972 Enrollment ID: I20210920001333 |
| Provider Name | Aaron Pinion |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255642294 PECOS PAC ID: 3476868431 Enrollment ID: I20211006003464 |
| Provider Name | Kylee Lienemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689244824 PECOS PAC ID: 5395133771 Enrollment ID: I20211104001436 |
Board Of Regents, University Of Nebraska Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 11th Avenue, Msab Rm 184, Kearney, NE 68849 Phone: 308-865-8964 Fax: 308-865-8218 | |
Dr. Amy Lange, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 E 35th St, Kearney, NE 68847 Phone: 312-508-9610 | |
Platte Valley Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3219 Central Ave, Kearney, NE 68847 Phone: 308-865-2263 Fax: 308-865-2541 | |
Tim Mason Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-440-2983 | |
Tiffany L Byrkit Pac Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 17th Ave, Kearney, NE 68845 Phone: 308-440-7807 | |
Elite Chiropractic & Tissue Rehabilitation, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 W 56th St, Suite A1 East, Kearney, NE 68847 Phone: 308-455-1500 Fax: 308-455-1502 |