Travis J Teetor (NPI# 1568684173, PAC ID# 1850560442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1568684173 |
| PAC ID by PECOS | 1850560442 |
| Professional Enrollment ID | I20110817000090 |
| Full Name | Travis J Teetor |
| Organization Legal Name | CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC |
| Address |
555 S 70th St Chi Health St. Elizabeth Lincoln NE 68510-2462 |
| Phone Number | 4022198000 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2264794569 |
| Number of Group Practice Members | 121 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 283300 | BOYS TOWN NATIONAL RESEARCH HOSPITAL |
| 280020 | CHI HEALTH ST. ELIZABETH |
| Address | Phone | Organization |
|---|---|---|
| 14000 Boys Town Hospital Rd, Boys Town, NE 68010-7513 | 5313556000 | FATHER FLANAGANS BOYS HOME |
| 14080 Boys Town Hospital Rd, Boys Town, NE 68010-7513 | 4027786900 | FATHER FLANAGANS BOYS HOME |
| 14092 Boys Town Hospital Rd, Boys Town, NE 68010-7513 | FATHER FLANAGANS BOYS HOME | |
| 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 | 4022198000 | CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC |
| 555 N 30th St, Boys Town National Research Hospital, Omaha, NE 68131-2136 | 5313556540 | FATHER FLANAGANS BOYS HOME |
| Organization Legal Name | CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph V Petty | Anesthesiology | Chi Health Clinic Physician Enterprise-anesthesia LLC | 7500 S 91st St, Chi Health Nebraska Heart Inst., Lincoln, NE 68526-9437 |
| Don B Rhoden | Anesthesiology | Chi Health Clinic Physician Enterprise-anesthesia LLC | 7500 Mercy Rd, Suite 1355, Omaha, NE 68124-2319 |
| Jeanne L Howard | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 7500 Mercy Rd, Suite 1355, Omaha, NE 68124-2319 |
| Clark R Jackson | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Priscilla A Boyer | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Corrine G Behrens | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 7500 Mercy Rd, Suite 1355, Omaha, NE 68124-2319 |
| Jeff J Swanson | Anesthesiology | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Shelby M Johnson | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| James Milder | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 7500 Mercy Rd, Suite 1355, Omaha, NE 68124-2319 |
| Edward P Drobny | Anesthesiology | Chi Health Clinic Physician Enterprise-anesthesia LLC | 800 Mercy Dr, Council Bluffs, IA 51503-3128 |
| Street Address |
555 S 70TH ST CHI HEALTH ST. ELIZABETH |
| City | LINCOLN |
| State | NE |
| Zip | 68510-2462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Slocum Farritor | Hospitalist | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Leyuan Jack Chen | Hospitalist | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Clark R Jackson | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Jessica D Taylor | Physician Assistant | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Priscilla A Boyer | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Jeff J Swanson | Anesthesiology | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Joshua P Vogel | Nurse Practitioner | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Shelby M Johnson | Certified Registered Nurse Anesthetist (crna) | Chi Health Clinic Physician Enterprise-anesthesia LLC | 555 S 70th St, Chi Health St. Elizabeth, Lincoln, NE 68510-2462 |
| Douglas A Bauer | Hospitalist | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Paul N Gobbo | Infectious Disease | The Physician Network | 555 S 70th St, Lincoln, NE 68510-2462 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Simanic | Nurse Practitioner | Bluestem Health | 2301 O St, Suite 2, Lincoln, NE 68510-1100 |
| Huong Mack | Nurse Practitioner | Lutheran Family Services of Ne Inc | 2301 O St, Lincoln, NE 68510-1124 |
| Cory Lee Rabe | Nurse Practitioner | Lutheran Family Services of Ne Inc | 2301 O St, Lincoln, NE 68510-1124 |
| Jackevelyn M Prater | Clinical Social Worker | 2444 O St, Lincoln, NE 68510-1125 | |
| Lori W Wennstedt | Clinical Psychologist | Lincoln and Lancaster County Child Guidance Center, Inc | 2444 O St, Lincoln, NE 68510-1125 |
| Daniel M Shull | Chiropractic | 2923 O St, Lincoln, NE 68510-1455 | |
| Dianna M Clyne | Psychiatry | 127 S 37th St A, Lincoln, NE 68510-1502 | |
| Jeffrey A Coffman | Psychiatry | 127 S 37th St, Suite A, Lincoln, NE 68510-1502 | |
| Patricia F Gardner | Nurse Practitioner | 127 S 37th St A, Lincoln, NE 68510-1502 | |
| Wendy L Blum | Clinical Social Worker | 127 S 37th St A, Lincoln, NE 68510-1502 | |
| Find all physicians in zip 68510 | |||
| City | LINCOLN |
| Zip Code | 68510 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LINCOLN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Travis J Teetor.
| 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.