Cordell E Harthoorn (NPI# 1174769301, PAC ID# 2466424718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1174769301 |
| PAC ID by PECOS | 2466424718 |
| Professional Enrollment ID | I20040809000428 |
| Full Name | Cordell E Harthoorn |
| Organization Legal Name | MIDTOWN HEALTH CENTER INC |
| Address |
222 S Main St Madison NE 68748-6485 |
| Phone Number | 4023701064 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9133110182 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 222 S Main St, Madison, NE 68748-6485 | 4023701064 | MIDTOWN HEALTH CENTER INC |
| 222 S Main St, Midtown Health Center Madison, Madison, NE 68748-6485 | 4023701064 | MIDTOWN HEALTH CENTER INC |
| 302 W Phillip Ave, Norfolk, NE 68701-5248 | 4023701064 | MIDTOWN HEALTH CENTER INC |
| Organization Legal Name | MIDTOWN HEALTH CENTER INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Paul Schneider | Nurse Practitioner | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Losika Sivaganeshan | Family Medicine | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Raymond Dwayne Heller | Family Medicine | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Kelsey L Peterson | Physician Assistant | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Jean Marie Allen | Nurse Practitioner | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Angela Kaye Anderson | Nurse Practitioner | Midtown Health Center Inc | 900 W Norfolk Ave, 100 Midtown Health Center Norfolk Ave, Norfolk, NE 68701-5006 |
| Mary B Smith | Nurse Practitioner | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Stacy Anne Brandt | Nurse Practitioner | Midtown Health Center Inc | 302 W Phillip Ave, Norfolk, NE 68701-5248 |
| Street Address |
222 S MAIN ST |
| City | MADISON |
| State | NE |
| Zip | 68748-6485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond M Ieronimo | Chiropractic | 222 S Main St, Haverhill, MA 01835-7352 | |
| David Arthur Miller | Chiropractic | 222 S Main St, Madison, NE 68748-6485 | |
| Gregory L Fortner | Family Practice | 222 S Main St, Reidsville, GA 30453-4602 |
| City | MADISON |
| Zip Code | 68748 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MADISON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Cordell E Harthoorn.
| 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.