HEARTLANDS RADIATION THERAPY PC (NPI# 1558303164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558303164 |
| Entity Type | Organization |
| Organization Name | HEARTLANDS RADIATION THERAPY PC |
| Practice Address |
450 E 23rd St Fremont NE 68025-2303 |
| Mailing Address |
Po Box 485 Boys Town NE 68010-0485 |
| Practice Telephone | 4027273580 |
| Mailing Telephone | 4027273580 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | JANET S PIECK (OWNER) |
| Authorized Official Telephone | 4027273580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR | DG8502 | 01 | |
| NE | 10024966800 | 05 |
| Street Address |
450 E 23RD ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048927 | Muhammad S Haroon | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2303 | 2005-07-26 |
| 1215552161 | Megan Grote | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-06-16 |
| 1104465491 | Jacqueline M Stanzel | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-01-03 |
| 1972147908 | Samantha Bauer | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-11-02 |
| 1699322529 | Chelsea A Hamzhie | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-26 |
| 1366097610 | Rachael Nicole Bruechert | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-05 |
| 1316590326 | Amanda N Berkland | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-07-18 |
| 1144798729 | Methodist Fremont Health | Pharmacy | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-11-13 |
| 1235618216 | Methodist Fremont Health | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700378577 | Brock Carl Harnisch | Radiology | 2230 E 12th St, Fremont, NE 68025-1610 | 2018-06-06 |
| 1952391831 | William S. Vancise | Radiology | 2390 Enterprise St, Fremont, OH 43420-8507 | 2005-10-24 |
| 1861656308 | Washington Radiation Oncology Center, A Medical Group, Inc | Radiology | 39101 Civic Center Dr, Fremont, CA 94538-5817 | 2008-07-14 |
| 1457391641 | David A. Larson | Radiology | 2000 Mowry Ave, Fremont, CA 94538-1716 | 2006-06-07 |
| 1760482723 | Janet S Pieck | Radiology | 450 E 23rd St, Fremont, NE 68025-2303 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1912268897 | Amir Zahra | Radiology | 6901 N 72nd St Ste 2244, Omaha, NE 68122-1709 | 2012-06-06 |
| 1336468636 | Mark Joseph Stavas | Radiology | 3901 Pine Lake Rd Ste 111, Lincoln, NE 68516-5497 | 2010-05-26 |
| 1629184015 | Williamsburg Radiation Oncology PC | Radiology | 6101 Village Dr, Suite 100, Lincoln, NE 68516-5830 | 2006-08-21 |
| 1508881244 | Phillip R Hynes | Radiology | 201 South 68th Street Place, Suite 100, Lincoln, NE 68510-2496 | 2006-07-13 |
| 1366475758 | Nebraska Intensity Modulated Radiotherapy PC | Radiology | 8001 Eiger Dr, Lincoln, NE 68516-6537 | 2006-07-08 |
| 1043261639 | Joan I Keit | Radiology | 3764 39th Ave, Columbus, NE 68601-4564 | 2006-05-16 |
| 1265426175 | Joseph Kam H Chiu | Radiology | 201 S 68th Street Pl, Suite 200, Lincoln, NE 68510-2496 | 2005-09-07 |
| 1285258558 | Gina R Brown | Radiology | 104 W 33rd St, Kearney, NE 68847-2959 | 2020-06-02 |
| 1043622764 | Michael Baine | Radiology | 505 S. 45th St, Omaha, NE 68198-1045 | 2014-05-29 |
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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.