DR. MATTHEW RANDAL HUMPAL (NPI# 1609135375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609135375 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RANDAL HUMPAL |
| Credential | M.D. |
| Practice Address |
501 1st Ave South Sioux City NE 68776-1703 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 4024943064 |
| Practice Fax Number | 7122947299 |
| Mailing Telephone | 6414283041 |
| Mailing Fax Number | 7122643509 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-42604 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47068731712 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Senate Ave, Ste. 105, Red Oak, IA 515661271 | 7126237250 | 7126237257 |
| Street Address |
501 1ST AVE |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip Code | 68776-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033566 | Tamera R Binder | Physician Assistant | 501 1st Ave, South Sioux City, NE 68776-1703 | 2005-06-14 |
| 1043251754 | Mercy Medical Services | Physician Assistant | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-06-10 |
| 1316985534 | Suhair Afana Najdawi | Family Medicine | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-06-02 |
| 1255387148 | David J. Sly | Family Medicine | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-05-25 |
| 1760444558 | Tracey Ann Pick | Specialist | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704251 | Integrated Diagnostics | Pathology | 201 East 4th Street, Suite 203, South Sioux City, NE 68776 | 2019-08-08 |
| 1003374711 | Riverview Surgical Center LLC | Clinic/Center | 201 E 4th Street, South Sioux City, NE 68776 | 2019-03-12 |
| 1144777665 | Emily Malchow | Speech-Language Pathologist | 820 E. 29th St., South Sioux City, NE 68776 | 2016-09-01 |
| 1477856011 | Hospice of Siouxland | Hospice Care, Community Based | 3220 Plaza Dr Ste D, South Sioux City, NE 68776 | 2010-12-20 |
| 1114101839 | Stacy Erin Rose | Counselor | 100 West 29th St, Suite 319, South Sioux, NE 68776 | 2007-12-18 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1689750937 | Elizabeth Joan Munch | Dentist | 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 | 2006-10-30 |
| 1841376191 | Douglas M. Barr | Dentist | 3220 Plaza Drive Ste B, So Sioux City, NE 68776 | 2006-10-30 |
| 1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
| 1316049752 | Redlers Prof Phcy Inc | Durable Medical Equipment & Medical Supplies | 1010 W 29th St, Ste 214, South Sioux City, NE 68776 | 2006-09-05 |
| Find all providers in zip 68776 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114992674 | Michael Brenner | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-20 |
| 1942562129 | Melissa N. Austreim-krell | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2012-06-13 |
| 1073600755 | Thomas Gerald Morgan | Family Medicine | 3410 Futures Dr, South Sioux City, NE 68776-3917 | 2006-10-06 |
| 1316985534 | Suhair Afana Najdawi | Family Medicine | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-06-02 |
| 1255387148 | David J. Sly | Family Medicine | 501 1st Ave, South Sioux City, NE 68776-1703 | 2006-05-25 |
| 1124093232 | Michael L Hattan | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-22 |
| 1538134002 | Thomas J Wente | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-20 |
| 1124093695 | Kevin J Folchert | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
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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.