KEVIN GARY LOONTJER (NPI# 1710125919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710125919 |
| Entity Type | Individual |
| Full Name | KEVIN GARY LOONTJER |
| Credential | MPAS PA-C |
| Practice Address |
2740 N Clarkson St Fremont NE 68025-7716 |
| Practice Telephone | 4027210090 |
| Practice Fax Number | 4027219661 |
| Mailing Telephone | 4027210090 |
| Mailing Fax Number | 4027219661 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1419 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47081915413 | 05 |
| Street Address |
2740 N CLARKSON ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063482750 | Zachary J Girthoffer | Physical Therapist | 2740 N Clarkson St, Suite 200, Fremont, NE 68025-7716 | 2006-01-25 |
| 1902287261 | Good Neighbor Community Health Center | Clinic/Center | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2015-06-12 |
| 1033539580 | Samuel Burns | Social Worker | 2740 N Clarkson St, Fremont, NE 68025-7703 | 2014-04-23 |
| 1699794099 | Ashley Michelle Belt | Physical Therapist | 2740 N Clarkson St, Suite 2, Fremont, NE 68025-7716 | 2006-07-18 |
| 1326070012 | Robin J. Bernard | Family Medicine | 2740 N Clarkson St, Fremont, NE 68025 | 2006-07-06 |
| 1598707507 | Fred W. Brown | Physical Therapist | 2740 N Clarkson St, St. 2, Fremont, NE 68025-7716 | 2006-06-12 |
| 1801848072 | Troy T Post Ix | Physical Therapist | 2740 N Clarkson St, Ste. 2, Fremont, NE 68025-7716 | 2006-05-16 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575512 | Jennifer Ann Gregovich | Physician Assistant | 39400 Paseo Padra Parkway, Embarcadero Building, General Surgery Dept., Fremont, CA 94538-2310 | 2006-12-18 |
| 1821635467 | Shane Ashbaugh | Physician Assistant | 38690 Stivers St Ste A, Fremont, CA 94536-5276 | 2019-12-03 |
| 1528546074 | Phoenix Di Ying | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-08-06 |
| 1730572603 | Nina Khatibi | Physician Assistant | 39141 Civic Center Dr, 335, Fremont, CA 94538-5818 | 2015-03-16 |
| 1891108270 | Susan Glaubiger | Physician Assistant | 38690 Stivers St, #a, Fremont, CA 94536-5279 | 2014-06-03 |
| 1518280726 | Melanie Castro | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-03-03 |
| 1780822031 | Michael Hom | Physician Assistant | 3868 Mowry Ave, Fremont, CA 94538-1430 | 2009-01-24 |
| 1700099165 | Gurleen Deol | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-05-08 |
| 1164583092 | Sean M. Kennedy | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero Bldg, Fremont, CA 94538-2310 | 2006-12-13 |
| 1609937523 | Elaine Dolores Berger | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Department, Fremont, CA 94538-2310 | 2006-12-13 |
| Find all providers in FREMONT | ||||
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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.