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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
1476109 | IN | Allopathic & Osteopathic Physicians |
Street Address |
2230 E 12TH ST |
City | FREMONT |
State | NE |
Zip Code | 68025-1610 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
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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.