Shane J Stephenson (NPI# 1427369321, PAC ID# 1254565732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427369321 |
| PAC ID by PECOS | 1254565732 |
| Professional Enrollment ID | I20170501001066 |
| Full Name | Shane J Stephenson |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
16120 W Dodge Rd Omaha NE 68118-2049 |
| Phone Number | 4023540550 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16120 W Dodge Rd, Omaha, NE 68118-2049 | 4023540550 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Stephen Tetrault | Family Medicine | Physicians Clinic Inc | 17675 Welch Plz, Omaha, NE 68135-3453 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Street Address |
16120 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip | 68118-2049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Susan H Wallace | Nurse Practitioner | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rachel L Anderson | Physical Therapy | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rebecca M Lancaster | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| James L Maliszewski | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Dorota S Brilz | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| M Suzan Crabb | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jon C Uggen | Orthopedic Surgery | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Felicia C Thorson | Nurse Practitioner | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Steven T Bailey | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia M Ripley | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Richard J Roeser | Physical Therapy | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jeremy K Gallant | Physical Medicine and Rehabilitation | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Christine M Kissinger | Physical Therapy | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Hsueh Yu Wesley Cheng | Orthopedic Surgery | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Zachary Tomulty Gustin | Physical Medicine and Rehabilitation | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rachelle Lou Naridze | Dermatology | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Thomas Augustine Franco | Physical Medicine and Rehabilitation | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rini A. Desai | Physical Medicine and Rehabilitation | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Lauren E Shoemaker | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Find all physicians in zip 68118 | |||
| City | OMAHA |
| Zip Code | 68118 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OMAHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane J Stephenson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.