WESTERN NEBRASKA UROLOGY LLC (NPI# 1720162993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720162993 |
| Entity Type | Organization |
| Organization Name | WESTERN NEBRASKA UROLOGY LLC |
| Practice Address |
2 West 42nd Street Suite 3600 Scottsbluff NE 69361 |
| Practice Telephone | 3086302450 |
| Practice Fax Number | 3086302492 |
| Mailing Telephone | 3086302450 |
| Mailing Fax Number | 3086302492 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHAWN MICHAEL ACINO (PRESIDENT) |
| Authorized Official Telephone | 3086302450 |
| Authorized Official Credential | MD PACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 22723 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MIDLANDS CHOICE | 241716 | 01 | |
| NE | BLUE CROSS | 07283 | 01 |
| NE | 10025264700 | 05 | |
| RR MCARE | DD6108 | 01 |
| Street Address |
2 WEST 42ND STREET SUITE 3600 |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043302748 | John N Kabalin | Urology | 3911 Avenue B, Suite 2200, Scottsbluff, NE 69361-4617 | 2006-09-29 |
| 1780615401 | Scottsbluff Urology Assoc PC | Urology | 3911 Avenue B, 2200, Scottsbluff, NE 69361-4617 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524640 | Jennifer Dwyer | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2014-06-23 |
| 1326301995 | Harry Jeoffrey Deeths | Urology | 402 N 97th Ct, Omaha, NE 68114-2395 | 2012-06-19 |
| 1780944652 | Hanhan Li | Urology | 4101 Woolworth Ave Ste 112, Omaha, NE 68105-1850 | 2012-05-24 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1710196746 | Natvarlal P Patel | Urology | 109n 29th St 2, Norfolk, NE 68701-3261 | 2007-05-22 |
| 1093738361 | Peter Elbridge Howe | Urology | 5500 Pine Lake Road, Lincoln, NE 68516 | 2006-07-26 |
| 1619904927 | Laroy E Williams | Urology | 123 W 31st St, Kearney, NE 68847-2916 | 2006-06-26 |
| 1467424762 | Mark Harned Davis | Urology | 2115 N. Kansas Ave, Suite 201, Hastings, NE 68901 | 2006-02-02 |
| 1124007042 | Urology Health Center PC | Urology | 2735 N Clarkson St, Fremont, NE 68025 | 2006-01-10 |
| 1588666275 | Gregory L. Alberts | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-11 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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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.