Richard B Koefoot Jr. (NPI# 1003896010, PAC ID# 1658359328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1003896010 |
| PAC ID by PECOS | 1658359328 |
| Professional Enrollment ID | I20050819000263 |
| Full Name | Richard B Koefoot Jr. |
| Organization Legal Name | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Address |
715 N Saint Joseph Ave Hastings NE 68901-4497 |
| Phone Number | 4024634521 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4587575550 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280032 | MARY LANNING HEALTHCARE |
| 280023 | CHI HEALTH ST. FRANCIS |
| Address | Phone | Organization |
|---|---|---|
| 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 4024634521 | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Krumm | Physical Therapy | The Mary Lanning Memorial Hospital Association | 433 N Wilson St, Blue Hill, NE 68930-3507 |
| Abby H Gallagher | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 715 N Kansas Ave, Suite 101, Hastings, NE 68901-4422 |
| Dacia D Oakeson | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 835 S Burlington Ave, Suite 108, Hastings, NE 68901-6928 |
| Catherine M Phillips | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 202 N Esther St, Fullerton, NE 68638-3029 |
| Frederick D Catlett | Family Medicine | The Mary Lanning Memorial Hospital Association | 606 N Minnesota Ave, Suite 1, Hastings, NE 68901-5256 |
| Kylene M Schroer | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 223 E 14th St, Suite 100, Hastings, NE 68901-3240 |
| Daniel M Brailita | Infectious Disease | The Mary Lanning Memorial Hospital Association | 425 N Diers Ave, Suite 2, Grand Island, NE 68803-4910 |
| Pornchai Jonglertham | Medical Oncology | The Mary Lanning Memorial Hospital Association | 815 N Kansas Ave, Hastings, NE 68901-4470 |
| Nancy D Bredenkamp | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 102 N Pine St, Blue Hill, NE 68930-5532 |
| Troy L Swayze | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Street Address |
715 N SAINT JOSEPH AVE |
| City | HASTINGS |
| State | NE |
| Zip | 68901-4497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy L Swayze | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Kristen J Anderson | Physician Assistant | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Michelle L Batterman | Physician Assistant | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Larissa Ann Luther Rossow | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Abhijeet S Basoor | Interventional Cardiology | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Daniel B Einspahr | Internal Medicine | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Scott E Bell | Neurosurgery | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Jessica A Larson | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Daniel J Herold | Diagnostic Radiology | Hastings Radiology Associates PC | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 |
| Melissa A Berghuis | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Welch | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| William D Terrell | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| Gary L Wyeno | Qualified Audiologist | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Mark L Keller | Otolaryngology | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Richard D French | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| George M Adam | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Todd A Pankratz | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Lindsay N Van Pelt | Nurse Practitioner | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Paul C Wibbels | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| David R Little | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Find all physicians in zip 68901 | |||
| City | HASTINGS |
| Zip Code | 68901 |
| Specialty | UROLOGY |
| City + Specialty | HASTINGS + UROLOGY |
Please comment or provide details below to improve the information on Richard B Koefoot Jr..
| 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.