PAUL JORDAN TRAVIS (NPI# 1245592070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245592070 |
| Entity Type | Individual |
| Full Name | PAUL JORDAN TRAVIS |
| Credential | M.D. |
| Practice Address |
601 W Leota St North Platte NE 69101-6525 |
| Practice Telephone | 3086968000 |
| Mailing Telephone | 3086968000 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27642 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619947371 | Paul Herman Travis | Chiropractor | 3123 S 66th St, Fort Smith, AR 72903-5005 | 2006-01-25 |
| 1346732633 | Paul F. Travis | Registered Nurse | 10 Nicholls St, Davenport, WA 99122-9729 | 2018-06-01 |
| 1043609043 | Paul Travis | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2015-01-13 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548273774 | James E. Smith | Emergency Medicine | 601 West Leota Street, North Platte, NE 69101-6598 | 2006-08-15 |
| 1316130115 | Todd Alan Jensen | Emergency Medicine | 601 W Leota St, North Platte, NE 69101-6525 | 2007-08-24 |
| 1023110996 | Phillip A Stawski | Emergency Medicine | 601 W Leota St, North Platte, NE 69101-6525 | 2006-09-02 |
| 1780697060 | Wayne K Weston | Emergency Medicine | 601 W Leota St, North Platte, NE 69101-6525 | 2006-08-15 |
| 1003929258 | Deborah R. Weaver | Emergency Medicine | 118 E C St, North Platte, NE 69101-5411 | 2006-08-15 |
| 1710998141 | Renee Engler | Emergency Medicine | 601 W Leota St, North Platte, NE 69101-6525 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1962900829 | Douglas J. Weedman, M.d., L.L.C. | Emergency Medicine | 210 S 16th St Apt 618, Omaha, NE 68102-1634 | 2018-01-25 |
| 1487161139 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1130 S 13th St Ste 100, Norfolk, NE 68701-5733 | 2018-01-03 |
| 1063933935 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5000 N 26th St Ste 300, Lincoln, NE 68521-4749 | 2017-06-30 |
| 1235659202 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 6005 N 72nd St Ste 101, Omaha, NE 68134-2300 | 2017-06-21 |
| 1417477498 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5062 S 155th St Ste 101, Omaha, NE 68137-5002 | 2017-06-21 |
| 1992225973 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 225 N Saddle Creek Rd Ste 101, Omaha, NE 68131-2228 | 2017-06-21 |
| 1285160614 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 750 Allen Drive, Grand Island, NE 68803-3337 | 2017-05-04 |
| 1366974776 | Cody Bonk | Emergency Medicine | 981150 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3522 | 2017-04-03 |
| 1588109508 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 8124 S 84th St, La Vista, NE 68128-3305 | 2016-12-29 |
| 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.