KELLY JOSEPH ZACH (NPI# 1871889287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871889287 |
| Entity Type | Individual |
| Full Name | KELLY JOSEPH ZACH |
| Credential | MD |
| Practice Address |
7121 Stephanie Ln Ste 102 Lincoln NE 68516-5359 |
| Practice Telephone | 4024135010 |
| Practice Fax Number | 4024135009 |
| Mailing Telephone | 4024135010 |
| Mailing Fax Number | 4024135009 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R72483 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
29166 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRAINING PERMIT | R72483 | 01 |
| Street Address |
7121 STEPHANIE LN STE 102 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386619849 | Juris L Purins | Radiology | 7121 Stephanie Ln, Ste 100, Lincoln, NE 68516-5359 | 2006-02-20 |
| 1952755183 | Clinic Care Now LLC | Clinic/Center | 7121 Stephanie Ln, Suite 100a, Lincoln, NE 68516-5359 | 2016-04-13 |
| 1750704342 | Strasburger Orthopaedics PC | Durable Medical Equipment & Medical Supplies | 7121 Stephanie Ln, Suite 100, Lincoln, NE 68516-5359 | 2014-02-02 |
| 1174831036 | Ferguson Chiropractic & Rehab | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-09-14 |
| 1346556123 | Aron Douglas Ferguson | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-08-31 |
| 1386955789 | Patricia Lynn Martens | Dentist | 7121 Stephanie Ln, Lincoln, NE 68516-5359 | 2010-06-30 |
| 1124358262 | Brad Hochstein | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-01-13 |
| 1932439973 | Synergy Chiropractic Spine and Joint Center | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-01-13 |
| 1497085534 | Scott Cameron Keller | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-01-13 |
| 1932325776 | Jason P Cassidy | Radiology | 7121 Stephanie Ln, Ste 100, Lincoln, NE 68516-5359 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245692581 | Innovative Pain & Spine Specialists | Pain Medicine | 7121 Stephanie Ln Ste 102, Lincoln, NE 68516-5359 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346709383 | Grand Island Pain Relief Center PC | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2019-03-19 |
| 1417474602 | Momenta Pain Care, LLC | Pain Medicine | 1805 N 145th St, Omaha, NE 68154 | 2017-08-28 |
| 1447576293 | Piperis Interventional Pain Care PC | Pain Medicine | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2248 | 2010-04-19 |
| 1013161082 | Pravardhan Rajashekar Birthi | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2008-11-04 |
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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.