DR. ERIC MARK WIEBE (NPI# 1477561512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477561512 |
Entity Type | Individual |
Full Name | DR. ERIC MARK WIEBE |
Credential | M.D. |
Practice Address |
3911 Avenue B Suite 1100 Scottsbluff NE 69361-4617 |
Practice Telephone | 3086302101 |
Mailing Telephone | 3086302101 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2012-04-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 19880 | NE | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
19880 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PALMENTO GBA RR MEDICARE | 110111372 | 01 |
Street Address |
3911 AVENUE B SUITE 1100 |
City | SCOTTSBLUFF |
State | NE |
Zip Code | 69361-4617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497752331 | Ernest K Bussinger | Obstetrics & Gynecology | 3911 Avenue B, Ste 3100, Scottsbluff, NE 69361-4617 | 2005-07-07 |
1952955247 | James Lee Buck | Specialist/Technologist | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2019-07-25 |
1356837181 | Hope Marie Hansen | Nurse Practitioner | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2018-07-04 |
1386018638 | Brooke Arleen Borgman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2015-11-24 |
1770965642 | Susan Backer | Clinical Nurse Specialist | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2015-06-26 |
1053737999 | Jocelyn Mellen | Speech-Language Pathologist | 3911 Avenue B, Suite G 200, Scottsbluff, NE 69361-4617 | 2014-03-17 |
1710324868 | Aaron James Cisar | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2013-05-30 |
1871939025 | Dawn Elizabeth Mckown | Physical Therapist | 3911 Avenue B, Suite G200, Scottsbluff, NE 69361-4617 | 2013-05-15 |
1386991636 | Susan E Schoeneman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2012-08-06 |
1568734804 | Jade Malcolm | Nurse Practitioner | 3911 Avenue B, Suite 3100, Scottsbluff, NE 69361-4617 | 2012-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
Find all providers in zip 69361 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1558628743 | Ruba M Sarsour | Internal Medicine | 3911 Avenue B Ste 1100, Scottsbluff, NE 69361 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053530519 | Nephrology Care LLC | Internal Medicine | 2560 N Healthy Way, Fremont, NE 68025-2315 | 2007-04-24 |
1992924443 | Bryce H Lund | Internal Medicine | 310 E Military Ave, Fremont, NE 68025-5070 | 2007-04-24 |
1376654780 | Jerry L Fischer | Internal Medicine | 2665 Douglas St, Omaha, NE 68131-2626 | 2006-08-31 |
1831126259 | Sonali S Deshmukh | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-06-28 |
1326014028 | Michael L Aaronson | Internal Medicine | 7401 O St, Lincoln, NE 68510-2444 | 2006-02-23 |
1437122322 | Ronald Lynn Asher | Internal Medicine | 611 W Francis St Ste 270, North Platte, NE 69101-0614 | 2006-02-10 |
1184272577 | Nebraska Kidney Health PC | Internal Medicine | 1900 N Saint Joseph Ave, Hastings, NE 68901-2652 | 2019-08-28 |
1386187375 | North Platte Nebraska Physician Group LLC | Internal Medicine | 611 W Francis St, Ste 270, North Platte, NE 69101-0614 | 2016-11-23 |
1578943593 | Felipe Sebastian Naranjo | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-04 |
1962838193 | Platte River Nephrology LLC | Internal Medicine | 611 W Francis St Ste 270, North Platte, NE 69101-0614 | 2013-09-19 |
Find all providers with the same taxonomy |
City | SCOTTSBLUFF |
Zip Code | 69361 |
Please comment or provide details below to improve the information on DR. ERIC MARK WIEBE.
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.