BROCK CARL HARNISCH


Address: 2230 E 12th St, Fremont, NE 68025-1610
Phone: 3123754601

BROCK CARL HARNISCH (NPI# 1700378577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700378577
Entity Type Individual
Full Name BROCK CARL HARNISCH
Practice Address 2230 E 12th St
Fremont
NE 68025-1610
Mailing Address 9089 Clairemont Mesa Blvd Ste 200
San Diego
CA 92123-1225
Practice Telephone 3123754601
Mailing Telephone 8588108628
Enumeration Date 2018-06-06
Last Update Date 2018-06-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
1476109 IN Allopathic & Osteopathic Physicians

Office Location

Street Address 2230 E 12TH ST
City FREMONT
State NE
Zip Code 68025-1610

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1558303164 Heartlands Radiation Therapy PC Radiology 450 E 23rd St, Fremont, NE 68025-2303 2006-06-11
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

Providers in the same taxonomy and state

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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Competitor

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City FREMONT
Zip Code 68025

Improve Information

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Dataset Information

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.

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