BRUCE LYNN KOHTZ (NPI# 1023059565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023059565 |
| Entity Type | Individual |
| Full Name | BRUCE LYNN KOHTZ |
| Credential | PA-C |
| Practice Address |
2810 W 35th St Kearney NE 68845-2909 |
| Practice Telephone | 3088652570 |
| Practice Fax Number | 3088652508 |
| Mailing Telephone | 3088652570 |
| Mailing Fax Number | 3088652508 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
785 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS OF NEBRASKA | 37446 | 01 |
| NE | MIDLANDS CHOICE | 11622 | 01 |
| Street Address |
2810 W 35TH ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586943 | New West Orthopaedic & Sports Rehabilitation LLC | Specialist | 2810 W 35th St, Ste 2, Kearney, NE 68845 | 2005-05-23 |
| 1194268078 | Inspire Rehabilitation LLC | Occupational Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2016-11-28 |
| 1205231305 | Elizabeth A Hinrichs | Physical Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2014-10-31 |
| 1639574197 | Melissa B Bruggeman | Physical Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2014-10-27 |
| 1730584293 | Terry E Nitsch | Physical Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2014-10-27 |
| 1689075897 | Matthew Butler | Physician Assistant | 2810 W 35th St, Kearney, NE 68845-2909 | 2014-09-07 |
| 1932450970 | Maura Rabe | Occupational Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2012-10-01 |
| 1902151004 | Brian Thomas Malicky | Physical Therapist | 2810 W 35th St, Ste 2, Kearney, NE 68845-2909 | 2012-07-16 |
| 1356612030 | Yuji Kitabatake | Physician Assistant | 2810 W 35th St, Suite 1, Kearney, NE 68845-2909 | 2012-01-26 |
| 1023306289 | Paul Jens Nielsen | Orthopaedic Surgery | 2810 W 35th St, Kearney, NE 68845-2909 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685193 | Micki Carraher | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-10-16 |
| 1003397605 | Jessica Scoville | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-08-22 |
| 1942618160 | Timothy Alford | Physician Assistant | 816 22nd Ave, Kearney, NE 68845 | 2014-07-31 |
| 1528236510 | Jason Travis Fritzen | Physician Assistant | 2810 W 35th St, Kearney, NE 68845-2909 | 2008-02-13 |
| 1972680064 | Jason Dan Barber | Physician Assistant | 3219 Central Ave, Suite 102, Kearney, NE 68847-2949 | 2006-11-01 |
| 1205873171 | Joseph L Verzal | Physician Assistant | 2810 W 35th St, Kearney, NE 68845-2909 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063733988 | Seth Lauterbach | Physician Assistant | 1017 Grove Avenue, Crete, NE 68333 | 2010-06-15 |
| 1518031194 | Peter W Hunt | Physician Assistant | Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-17 |
| 1285643189 | Charles E Scholtes | Physician Assistant | 8207 Northwoods Drive, Lincoln, NE 68505-2093 | 2006-08-07 |
| 1447237284 | Todd Allen Sorensen | Physician Assistant | 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 | 2005-12-22 |
| 1609851005 | Timothy J Yrastorza | Physician Assistant | 4740 A St, Suite 100, Lincoln, NE 68510-4824 | 2005-12-08 |
| 1972597466 | Joseph D Blankenship | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2005-09-09 |
| 1972596435 | Hyla Rosmary Robbins | Physician Assistant | 55mdg 2501 Capehart Rd., Offutt Afb, NE 68113-2160 | 2005-08-30 |
| 1457354789 | Jennifer Chavez | Physician Assistant | 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 | 2005-05-31 |
| 1225031776 | Jason R Hadenfeldt | Physician Assistant | 620 N Diers Ave Ste 200, Grand Island, NE 68803-4985 | 2005-05-28 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.