PANHANDLE SURGICAL, P.C. (NPI# 1952434417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952434417 |
| Entity Type | Organization |
| Organization Name | PANHANDLE SURGICAL, P.C. |
| Practice Address |
709 W 4th St Ste 2 Chadron NE 69337-2270 |
| Practice Telephone | 3087472135 |
| Practice Fax Number | 3087472034 |
| Mailing Telephone | 3087472135 |
| Mailing Fax Number | 3087472034 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | JEFFREY D. LIAS (PRESIDENT) |
| Authorized Official Telephone | 3087472135 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 19787 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS OF NE | 00859 | 01 |
| Street Address |
709 W 4TH ST STE 2 |
| City | CHADRON |
| State | NE |
| Zip Code | 69337-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1962668491 | Mental Health Care Assoc | Counselor | 343 Chadron Ave, Chadron, NE 69337 | 2008-08-04 |
| 1396901898 | Desiree Dawn Moreland | Pharmacist | 825 Centennial Drive, Chadron, NE 69337 | 2008-08-04 |
| 1336360684 | Joan M. Yekel | Counselor | 651 West 4th Street, Chadron, NE 69337 | 2007-05-02 |
| 1003030065 | Sonja Lynne Dressel | Counselor | 301 West 2nd St, Chadron, NE 69337 | 2007-04-12 |
| 1689798308 | Rebecca Ann Brost | Counselor | 301 West 2nd Street, Chadron, NE 69337 | 2007-03-19 |
| 1679638472 | Teena Ionne Kenrick | Counselor | 318 Shelton St, Chaoron, NE 69337 | 2006-12-22 |
| 1861560666 | Margaret K Griffith | Counselor | 327 Ann St, Chadron, NE 69337 | 2006-12-01 |
| 1386715654 | Affinity Therapy Associates LLC | Counselor | 327 Ann Street, Chadron, NE 69337 | 2006-11-10 |
| 1093724650 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 West 3rd Street, Chadron, NE 69337 | 2006-08-05 |
| Find all providers in zip 69337 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775155 | Jeffrey Dean Lias | Surgery | 266 Chadron Ave, Chadron, NE 69337-2348 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821788 | Binghua Li | Surgery | 7710 Mercy Rd Ste 202 Cu-department of Surgery, Omaha, NE 68124-2353 | 2019-06-27 |
| 1225514185 | Lillia Cherkasskiy | Surgery | 7710 Mercy Road, Suite 202- Cu Department of Surgery, Omaha, NE 68124-2353 | 2018-07-13 |
| 1114441326 | Charles David Voigt | Surgery | 7710 Mercy Rd Ste 202 Cu Department of Surgery, Omaha, NE 68124-2368 | 2017-07-29 |
| 1992226617 | Andy W. Yang | Surgery | 7710 Mercy Road, Suite 202, Cumc Department of Surgery, Omaha, NE 68124-2353 | 2017-07-03 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1104279314 | German Eduardo Mendoza | Surgery | 601 N. 30th St. - Cu Dept of Surgery, Omaha, NE 68131-2128 | 2016-07-22 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1710360730 | Timothy Hallman | Surgery | 601 N. 30th St. -- Cu Department of Surgery, Omaha, NE 68131 | 2015-07-08 |
| 1356723225 | Bhavani Pokala | Surgery | 1015 N 14th St # 215, Omaha, NE 68102-4205 | 2015-06-26 |
| 1043692494 | Joshua Belle | Surgery | 983230 Nebraska Medical Ctr, Omaha, NE 68198-6426 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PANHANDLE SURGICAL, P.C..
| 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.