MARTIN N KATAMBWA (NPI# 1881669075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881669075 |
| Entity Type | Individual |
| Full Name | MARTIN N KATAMBWA |
| Credential | PA-C |
| Practice Address |
812 N 22nd St Blair NE 68008-1128 |
| Mailing Address |
4502 N 206th St Elkhorn NE 68022-6992 |
| Practice Telephone | 4024264611 |
| Practice Fax Number | 4024264642 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2036 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085004591 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2003004599 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 812 N 22nd St, Blair, NE 680081128 | 4024264611 | 4024264642 |
| Street Address |
812 N 22ND ST |
| City | BLAIR |
| State | NE |
| Zip Code | 68008-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188895 | Christy A Ott | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2005-10-20 |
| 1295360915 | Jacqlynn S Reiter | Dermatology | 812 N 22nd St, Blair, NE 68008-1128 | 2020-03-03 |
| 1710531967 | Memorial Community Hospital Corporation | Family Medicine | 812 N 22nd St, Blair, NE 68008-1128 | 2019-07-26 |
| 1780161109 | Elizabeth Otte | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2018-07-27 |
| 1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
| 1629330535 | Kevin C Sisk | Family Medicine | 812 N 22nd St, Blair, NE 68008-1128 | 2012-06-15 |
| 1477841898 | Nicole Catherine Kratochvil | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2011-07-19 |
| 1053475491 | Jill S Reel | Pediatrics | 812 N 22nd St, Blair, NE 68008-1128 | 2006-12-20 |
| 1609899301 | Kimberly S Kurtz | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2006-07-25 |
| 1376589085 | Charles Edward Smith | Family Medicine | 812 N 22nd St, Blair, NE 68008-1128 | 2006-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
| 1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
| 1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
| 1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
| 1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
| 1679630941 | Michael W. Suing | Nurse Anesthetist, Certified Registered | 810 N 22nd St, Blair, NE 68008 | 2007-01-03 |
| Find all providers in zip 68008 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188895 | Christy A Ott | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2005-10-20 |
| 1477841898 | Nicole Catherine Kratochvil | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2011-07-19 |
| 1609899301 | Kimberly S Kurtz | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2006-07-25 |
| 1013981000 | Mark P Christiansen | Physician Assistant | 812 N 22nd St, Blair, NE 68008 | 2006-02-15 |
| 1033183488 | Lynda D Arnold | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2006-02-14 |
| 1376516161 | Cameron J Ourada | Physician Assistant | 810 N 22nd St, Blair, NE 68008 | 2006-02-10 |
| 1285607036 | Bruce L Town | Physician Assistant | 812 N 22nd St, Blair, NE 68008-1128 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1669745253 | Mary Maureen Garvin | Physician Assistant | Unmc Division of Endocrinology, 983020 Nebraska Medical Center, Omaha, NE 68198-3020 | 2012-02-14 |
| 1508198672 | Brian Barry Nice | Physician Assistant | 987424 Nebraska Medical Ctr, Omaha, NE 68198-7424 | 2010-02-01 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1639308893 | Lisa C Degen | Physician Assistant | 2116 W Faidley Ave Ste 400, Grand Island, NE 68803 | 2009-07-09 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1407014723 | Kylie Michelle Hutsell | Physician Assistant | 11912 Elm St Ste 26, Omaha, NE 68144-4363 | 2008-05-23 |
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1093995342 | Jennifer Marie Moeller | Physician Assistant | 984120 Nebraska Medical Ctr, Omaha, NE 68198-4120 | 2007-11-04 |
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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.