ROGER W. NUTT, M.D.,P.C. (NPI# 1891914602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891914602 |
| Entity Type | Organization |
| Organization Name | ROGER W. NUTT, M.D.,P.C. |
| Practice Address |
710 S 13th St Suite 1200 Norfolk NE 68701-5792 |
| Practice Telephone | 4023704570 |
| Mailing Telephone | 4023704570 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. ROGER WAYNE NUTT (PRESIDENT) |
| Authorized Official Telephone | 9283444907 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
15072 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 251778 | 05 |
| Street Address |
710 S 13TH ST SUITE 1200 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-5792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689083 | Roger Wayne Nutt | Internal Medicine | 710 S 13th St, Ste1200, Norfolk, NE 68701-5792 | 2005-06-15 |
| 1720329113 | Carociba Inc | Psychiatry & Neurology | 710 S 13th St, Ste 900, Norfolk, NE 68701-5792 | 2013-03-08 |
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|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1457740458 | Rbh Md LLC | Clinic/Center | 6160 Kempsville Cir, Suite 102-a, Norfolk, VA 23502-3933 | 2015-01-13 |
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| 1215333174 | Dialysis Center of Lincoln, Inc | Clinic/Center | 7910 O St, Lincoln, NE 68510-2500 | 2014-11-05 |
| 1376851212 | Wayne Sport and Spine, PC | Clinic/Center | 214 N Pearl St, Wayne, NE 68787-1902 | 2010-09-14 |
| 1124351887 | Nhi Outreach Clinic Services, LLC | Clinic/Center | 7440 S 91st St, Lincoln, NE 68526-9797 | 2009-09-14 |
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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.