DR. MAURICE DAVID BIRDWELL (NPI# 1538119466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538119466 |
| Entity Type | Individual |
| Full Name | DR. MAURICE DAVID BIRDWELL |
| Credential | MD |
| Practice Address |
810 N 22nd St Emergency Department Blair NE 68008-1128 |
| Practice Telephone | 4024262182 |
| Practice Fax Number | 4024261190 |
| Mailing Telephone | 4024262182 |
| Mailing Fax Number | 4024261135 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20015 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47064207113 | 05 | |
| IA | 0922658 | 05 | |
| RAILROAD MEDICARE | 930039867 | 01 | |
| RAILROAD MEDICARE - GRP | 002475 | 01 |
| Street Address |
810 N 22ND ST EMERGENCY DEPARTMENT |
| City | BLAIR |
| State | NE |
| Zip Code | 68008-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278334 | John Steigner | Emergency Medicine | 810 N 22nd St, Memorial Community Hospital Corporation, Blair, NE 68008-1128 | 2005-07-07 |
| 1093354888 | Mitzi Klimek | Dietitian, Registered | 810 N 22nd St, Blair, NE 68008-1128 | 2019-12-27 |
| 1972026995 | Susann Ashley O'banion | Nurse Practitioner | 810 N 22nd St, Blair, NE 68008-1128 | 2017-07-21 |
| 1629506100 | Jordan Stilmock | Dietitian, Registered | 810 N 22nd St, Blair, NE 68008-1128 | 2017-05-30 |
| 1841694106 | Katherine Orr | Physical Therapist | 810 N 22nd St, Blair, NE 68008-1128 | 2014-10-15 |
| 1730427451 | Kyle Gerard Suing | Physical Therapist | 810 N 22nd St, Blair, NE 68008-1128 | 2013-01-30 |
| 1922373141 | Catherine A White | Physical Therapist | 810 N 22nd St, Blair, NE 68008-1128 | 2012-03-21 |
| 1154698066 | Janice C Fitchhorn | Occupational Therapist | 810 N 22nd St, Blair, NE 68008-1128 | 2011-11-20 |
| 1922304682 | Foot and Ankle Clinic, PC | Podiatrist | 810 N 22nd St, Blair, NE 68008-1128 | 2011-01-28 |
| 1497994230 | Jeremy Lee | Emergency Medicine | 810 N 22nd St, Blair, NE 68008-1128 | 2009-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
| 1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
| 1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
| 1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
| 1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
| 1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
| Find all providers in zip 68008 | ||||
| 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 |
|---|---|---|---|---|
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1649278334 | John Steigner | Emergency Medicine | 810 N 22nd St, Memorial Community Hospital Corporation, Blair, NE 68008-1128 | 2005-07-07 |
| 1497994230 | Jeremy Lee | Emergency Medicine | 810 N 22nd St, Blair, NE 68008-1128 | 2009-02-18 |
| 1578504528 | Mark Edward Shirley | Emergency Medicine | 810 N 22nd St, Blair, NE 68008 | 2006-06-09 |
| 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 |
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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.