CHADRON MEDICAL CLINIC PC (NPI# 1619455946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619455946 |
| Entity Type | Organization |
| Organization Name | CHADRON MEDICAL CLINIC PC |
| Practice Address |
825 Centennial Dr Chadron NE 69337 |
| Mailing Address |
Po Box 431 Chadron NE 69337-0431 |
| Practice Telephone | 3084324441 |
| Practice Fax Number | 3084322130 |
| Mailing Telephone | 3084324441 |
| Mailing Fax Number | 3084322130 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | VICTORIA LEE BARRAZA (MEDICARE COMPLIANCE OFFICER) |
| Authorized Official Telephone | 3084324441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417167370 | Chadron Medical Clinic PC | General Practice | 825 Centennial Dr, Chadron, NE 69337-9400 | 2007-05-22 |
| Street Address |
825 CENTENNIAL DR |
| City | CHADRON |
| State | NE |
| Zip Code | 69337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912980327 | Jerry L Mclain | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| 1174145502 | Madison Elisabeth Nitsch | Specialist/Technologist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2020-05-07 |
| 1639717135 | Leah A Frye | Pharmacist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2019-12-15 |
| 1194370007 | Emily M Arterburn | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2019-08-07 |
| 1619479698 | Kaelyse Noel Adler | Physician Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2018-03-06 |
| 1992217988 | Aimy Irenaeia Mahony | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2017-10-30 |
| 1326593674 | Keith Bradley Blaylock | Physical Therapist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-16 |
| 1427502897 | Eser Graham-marski | Physical Therapist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-15 |
| 1174076657 | Sarah Wirth | Physical Therapy Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-01 |
| 1962955443 | Jera Lynn Boeselager | Physical Therapist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1962668491 | Mental Health Care Assoc | Counselor | 343 Chadron Ave, Chadron, NE 69337 | 2008-08-04 |
| 1396901898 | Desiree Dawn Moreland | Pharmacist | 825 Centennial Drive, Chadron, NE 69337 | 2008-08-04 |
| 1336360684 | Joan M. Yekel | Counselor | 651 West 4th Street, Chadron, NE 69337 | 2007-05-02 |
| 1003030065 | Sonja Lynne Dressel | Counselor | 301 West 2nd St, Chadron, NE 69337 | 2007-04-12 |
| 1689798308 | Rebecca Ann Brost | Counselor | 301 West 2nd Street, Chadron, NE 69337 | 2007-03-19 |
| 1679638472 | Teena Ionne Kenrick | Counselor | 318 Shelton St, Chaoron, NE 69337 | 2006-12-22 |
| 1861560666 | Margaret K Griffith | Counselor | 327 Ann St, Chadron, NE 69337 | 2006-12-01 |
| 1386715654 | Affinity Therapy Associates LLC | Counselor | 327 Ann Street, Chadron, NE 69337 | 2006-11-10 |
| 1093724650 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 West 3rd Street, Chadron, NE 69337 | 2006-08-05 |
| Find all providers in zip 69337 | ||||
| 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 |
|---|---|---|---|---|
| 1912980327 | Jerry L Mclain | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| 1194370007 | Emily M Arterburn | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2019-08-07 |
| 1992217988 | Aimy Irenaeia Mahony | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2017-10-30 |
| 1134483126 | Megan K Schuckman | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2012-06-25 |
| 1780667832 | David D Johnson | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-22 |
| 1316920465 | Kristin K Johnson | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-22 |
| 1063495141 | William K Stetson | Family Medicine | 300 Shelton St, Chadron, NE 69337-2312 | 2005-11-22 |
| 1962485292 | Catherine A Sutera | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| 1255314654 | Edward A Pelton | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| 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 |
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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.