DR. PRADIP K MISTRY (NPI# 1194747048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194747048 |
| Entity Type | Individual |
| Full Name | DR. PRADIP K MISTRY |
| Credential | MD |
| Practice Address |
109 N 29th St Norfolk NE 68701-3261 |
| Practice Telephone | 4023791704 |
| Practice Fax Number | 4023794531 |
| Mailing Telephone | 4023791704 |
| Mailing Fax Number | 4023794531 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 16838 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 3789 | 01 |
| Street Address |
109 N 29TH ST |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526238 | Allen A Sossan | Orthopaedic Surgery | 109 N 29th St, Norfolk, NE 68701-3261 | 2005-08-25 |
| 1104213594 | Heckert Health Center, LLC | Nurse Practitioner | 109 N 29th St, Suite 6, Norfolk, NE 68701-3251 | 2015-04-23 |
| 1346597820 | Thomas N. Fennessy M.d., P.C. | Family Medicine | 109 N 29th St, Norfolk, NE 68701-3251 | 2012-08-14 |
| 1891083028 | Amber Rene Amick | Nurse Practitioner | 109 N 29th St, Suite 1, Norfolk, NE 68701-3251 | 2011-07-21 |
| 1902059983 | Norfolk Surgery-hehner PC | Surgery | 109 N 29th St, Suite 7, Norfolk, NE 68701-3261 | 2008-11-04 |
| 1639346083 | Fadi S Rzouq | Internal Medicine | 109 N 29th St, Ste 1, Norfolk, NE 68701-3251 | 2008-05-14 |
| 1497934467 | Norfolk Audiology | Audiologist | 109 N 29th St, Norfolk, NE 68701-3261 | 2007-10-26 |
| 1700078854 | Northeast Nebraska Cardiology Consultants P C | Nurse Practitioner | 109 N 29th St, Suite 1, Norfolk, NE 68701-3261 | 2007-08-13 |
| 1366548570 | Wende L Heckert | Nurse Practitioner | 109 N 29th St, Suite 6, Norfolk, NE 68701-3251 | 2006-09-15 |
| 1346343753 | Gregory S Sears | Dentist | 109 N 29th St, Norfolk, NE 68701-3261 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1376503391 | Demetrio Juan Aguila IIi | Otolaryngology | 1700 Market Ln Ste 410, Norfolk, NE 68701 | 2006-03-24 |
| 1154391829 | Ashley Anders Schroeder | Otolaryngology | 600 Gresham Dr Ste 1100, Evms Medical Group, Norfolk, VA 23507-1904 | 2006-01-25 |
| 1700887239 | John Kalafsky | Otolaryngology | 901 Hampton Blvd, Norfolk, VA 23507-1503 | 2005-08-09 |
| 1437538154 | Ear, Nose & Throat Ltd | Otolaryngology | 901 Hampton Blvd, Norfolk, VA 23507-1503 | 2015-05-27 |
| 1144563529 | Benjamin Joseph Rubinstein | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2013-04-03 |
| 1548520315 | Bon Secours Depaul Medical Center | Otolaryngology | 100 Kingsley Ln, Suite 404, Norfolk, VA 23505-4604 | 2012-05-25 |
| 1407176811 | Kent Kwok Kin Lam | Otolaryngology | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2010-06-08 |
| 1881849115 | Vivian F Wu | Otolaryngology | 600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 | 2008-12-01 |
| 1922219435 | Cristina Marie Baldassari | Otolaryngology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2007-05-25 |
| Find all providers in NORFOLK | ||||
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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.