Harold Wallace Keenan (NPI# 1437164118, PAC ID# 1456334655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1437164118 |
PAC ID by PECOS | 1456334655 |
Professional Enrollment ID | I20040609000866 |
Full Name | Harold Wallace Keenan |
Organization Legal Name | REGIONAL WEST GARDEN COUNTY |
Address |
1100 W 2nd St Oshkosh NE 69154-6117 |
Phone Number | 3087723283 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1965 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 3971502873 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281310 | REGIONAL WEST GARDEN COUNTY HOSPITAL |
280061 | REGIONAL WEST MEDICAL CENTER |
061310 | SEDGWICK COUNTY MEMORIAL HOSPITAL |
280065 | GREAT PLAINS HEALTH |
281355 | OGALLALA COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1100 W 2nd St, Oshkosh, NE 69154-6117 | 3087723283 | REGIONAL WEST GARDEN COUNTY |
Organization Legal Name | REGIONAL WEST GARDEN COUNTY |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Valerie Jean Cox | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Paula L Plog | Physician Assistant | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Brook Rene Wager | Emergency Medicine | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Kristin Cartright | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Street Address |
1100 W 2ND ST |
City | OSHKOSH |
State | NE |
Zip | 69154-6117 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen C Johnson | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 1100 W 2nd St, Oshkosh, NE 69154-6096 |
Valerie Jean Cox | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Paula L Plog | Physician Assistant | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Brook Rene Wager | Emergency Medicine | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Kristin Cartright | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
City | OSHKOSH |
Zip Code | 69154 |
Specialty | GENERAL PRACTICE |
City + Specialty | OSHKOSH + GENERAL PRACTICE |
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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.