DR. GINA GRACE MENTZER (NPI# 1316168628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316168628 |
Entity Type | Individual |
Full Name | DR. GINA GRACE MENTZER |
Other Name | DR. GINA GRACE WARDYN |
Credential | M.D. |
Practice Address |
2000 Q St Suite 500 Lincoln NE 68503-3609 |
Mailing Address |
7440 S 91st St Lincoln NE 68526-9797 |
Practice Telephone | 4023284572 |
Practice Fax Number | 4024210946 |
Mailing Telephone | 4024896555 |
Mailing Fax Number | 4023283770 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2014-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 35.095058 | OH | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27190 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | DEA | FW0491388 | 01 |
NE | 10026072000 | 05 | |
NE | 10026072200 | 05 | |
NE | 10026072300 | 05 | |
NE | 10026072400 | 05 | |
NE | 10026072500 | 05 | |
NE | 10026072600 | 05 |
Street Address |
2000 Q ST SUITE 500 |
City | LINCOLN |
State | NE |
Zip Code | 68503-3609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437184652 | The Physician Network | Anesthesiology | 2000 Q St, Suite 500, Lincoln, NE 68503-3609 | 2006-07-12 |
1295278620 | Cari Marie Lynn | Nurse Practitioner | 2000 Q St, Suite 500, Lincoln, NE 68503-3609 | 2016-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093205007 | Jessica Palmer-bacon | Counselor | 2000 P Street, Lincoln, NE 68503 | 2018-05-15 |
1770999138 | Emily Willett | Dentist | 400 E Campus Loop South, University of Nebraska Lincoln, Lincoln, NE 68503 | 2014-07-07 |
1811314081 | Amy Barton | Substance Abuse Rehabilitation Facility | 2633 P Street, Lincoln, NE 68503 | 2014-03-25 |
1689928160 | Jay C Spilker | Registered Nurse | 2633 P St., Lincoln, NE 68503 | 2012-11-05 |
1912282880 | Fouy Kok Chau | Dentist | 4605 Holdrege St, Apt 1, Lincoln, NE 68503 | 2011-10-11 |
1194003624 | Callista Marie Holwegner | Dentist | 1304 N. 40th Street, Lincoln, NE 68503 | 2011-08-02 |
1033445515 | Mabelle Labitoria | Physician Assistant | 1021 No. 27th Street, People's Health Center, Lincoln, NE 68503 | 2009-10-19 |
1063699122 | Peter Sartori IIi | Dentist | 300 N 44th, Suite 108, Lincoln, NE 68503 | 2008-01-30 |
1437370269 | Robin R Post | Dentist | 144 N. 44th Street, Suite F, Lincoln, NE 68503 | 2007-05-01 |
1851459721 | Gregory E Utecht | Dentist | 144 North 44th Street, Suite B, Lincoln, NE 68503 | 2006-12-04 |
Find all providers in zip 68503 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750903068 | Matrix Medical Network of Nebraska PC | Internal Medicine | 233 S 13th St Ste 1900, Lincoln, NE 68508-2000 | 2020-05-08 |
1013282821 | William Boaz Stason | Internal Medicine | 29 Sandy Pond Rd, Lincoln, MA 01773-2006 | 2012-03-12 |
1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
1316025505 | Robert Lee Percell Jr. | Internal Medicine | 1600 S 48th St Ste 600, Lincoln, NE 68506-1275 | 2006-11-02 |
1922088657 | Kaliprasad N Ayala | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-01-19 |
1346731759 | Cardiovascular Clinic of Nebraska LLC | Internal Medicine | 6940 Van Dorn St Ste 201, Lincoln, NE 68506-2858 | 2018-05-21 |
1164666095 | Christopher R Balwanz | Internal Medicine | 1600 S 48th St, Ste 600, Lincoln, NE 68506-1275 | 2009-04-22 |
1487859658 | Charles Stephen Wilson | Internal Medicine | 1500 S 48th St, Lincoln, NE 68506-1225 | 2007-06-18 |
1598880098 | Ajay Chander | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2007-03-21 |
1346321981 | Walid Michael Kutayli | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2006-10-18 |
Find all providers in LINCOLN |
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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.