DR. TODD E HLAVATY (NPI# 1134293566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293566 |
| Entity Type | Individual |
| Full Name | DR. TODD E HLAVATY |
| Credential | M.D. |
| Practice Address |
601 W Leota St North Platte NE 69101-6525 |
| Practice Telephone | 3086967741 |
| Mailing Telephone | 3086967741 |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
20065 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 56138797001 | 05 | |
| NE | MIDLANDS CHOICE | 4983 | 01 |
| NE | MEDICARE RAILROAD | 920007620 | 01 |
| NE | BLUE CROSS BLUE SHIELD | 31320 | 01 |
| Street Address |
601 W LEOTA ST |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672040 | Rick Allen Kukulka | Radiology | 601 W Leota St, North Platte, NE 69101-6525 | 2005-07-11 |
| 1669098687 | Jessie Rose Thorup | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2020-06-25 |
| 1447898408 | Shelby Rademacher | Nurse Practitioner | 601 W Leota St, North Platte, NE 69101-6525 | 2019-12-20 |
| 1952957102 | Cecelia Rae Opela-sierks | Nurse Practitioner | 601 W Leota St, North Platte, NE 69101-6525 | 2019-08-14 |
| 1295299204 | Alexander Donald Lucci | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2019-01-23 |
| 1679047708 | Marisa Adlesich | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2019-01-11 |
| 1689146128 | Jonathan Wade | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-12-21 |
| 1710452834 | Nicholas Singer | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-10-04 |
| 1932694346 | Elijah Samuel Vincent | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-06-27 |
| 1114418241 | Lisa Elizabeth Kopf | Physician Assistant | 601 W Leota St, North Platte, NE 69101-6525 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073844114 | Sandhills Oncology PC | Radiology | 601 W Leota St, North Platte, NE 69101-6525 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700378577 | Brock Carl Harnisch | Radiology | 2230 E 12th St, Fremont, NE 68025-1610 | 2018-06-06 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1912268897 | Amir Zahra | Radiology | 6901 N 72nd St Ste 2244, Omaha, NE 68122-1709 | 2012-06-06 |
| 1336468636 | Mark Joseph Stavas | Radiology | 3901 Pine Lake Rd Ste 111, Lincoln, NE 68516-5497 | 2010-05-26 |
| 1629184015 | Williamsburg Radiation Oncology PC | Radiology | 6101 Village Dr, Suite 100, Lincoln, NE 68516-5830 | 2006-08-21 |
| 1508881244 | Phillip R Hynes | Radiology | 201 South 68th Street Place, Suite 100, Lincoln, NE 68510-2496 | 2006-07-13 |
| 1366475758 | Nebraska Intensity Modulated Radiotherapy PC | Radiology | 8001 Eiger Dr, Lincoln, NE 68516-6537 | 2006-07-08 |
| 1043261639 | Joan I Keit | Radiology | 3764 39th Ave, Columbus, NE 68601-4564 | 2006-05-16 |
| 1265426175 | Joseph Kam H Chiu | Radiology | 201 S 68th Street Pl, Suite 200, Lincoln, NE 68510-2496 | 2005-09-07 |
| 1285258558 | Gina R Brown | Radiology | 104 W 33rd St, Kearney, NE 68847-2959 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.