DR. GINA GRACE MENTZER


Address: 2000 Q St, Suite 500, Lincoln, NE 68503-3609
Phone: 4023284572

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 2000 Q ST
SUITE 500
City LINCOLN
State NE
Zip Code 68503-3609

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LINCOLN
Zip Code 68503

Improve Information

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Dataset Information

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.

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