Douglas W Beard (NPI# 1669456497, PAC ID# 2961309612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1669456497 |
PAC ID by PECOS | 2961309612 |
Professional Enrollment ID | I20080815000114 |
Full Name | Douglas W Beard |
Organization Legal Name | FRONT RANGE CENTER FOR BRAIN AND SPINE SURGERY, PC. |
Address |
910 20th St Gothenburg NE 69138-1237 |
Phone Number | 3085374028 |
Gender | M |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 0143111310 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281313 | GOTHENBURG MEMORIAL HOSPITAL |
060010 | POUDRE VALLEY HOSPITAL |
280065 | GREAT PLAINS HEALTH |
060119 | MEDICAL CENTER OF THE ROCKIES |
Address | Phone | Organization |
---|---|---|
1313 Riverside Ave, Fort Collins, CO 80524-4352 | 9704931292 | FRONT RANGE CENTER FOR BRAIN AND SPINE SURGERY, PC. |
910 20th St, Gothenburg, NE 69138-1237 | 3085374028 | FRONT RANGE CENTER FOR BRAIN AND SPINE SURGERY, PC. |
Organization Legal Name | FRONT RANGE CENTER FOR BRAIN AND SPINE SURGERY, PC. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Leach | Nurse Practitioner | Front Range Center for Brain and Spine Surgery, PC. | 1313 Riverside Ave, Fort Collins, CO 80524-4352 |
Donn Martin Turner | Neurosurgery | Front Range Center for Brain and Spine Surgery, PC. | 4108 Laramie St, Cheyenne, WY 82001-1969 |
Timothy C Wirt | Neurosurgery | Front Range Center for Brain and Spine Surgery, PC. | 4108 Laramie St, Cheyenne, WY 82001-1969 |
Street Address |
910 20TH ST |
City | GOTHENBURG |
State | NE |
Zip | 69138-1237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ann M Scott | Nurse Practitioner | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Michael P Crisman | Physician Assistant | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Michelle K Chew | Nurse Practitioner | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Laurel A Walton | Obstetrics/gynecology | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Carol Lea Shackleton | Family Medicine | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Kayla S Knauss | Family Medicine | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Aaron Isaiah Salomon | Physician Assistant | Gothenburg Memorial Hospital | 910 20th St, Gothenburg, NE 69138-1237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany A Hicken | Chiropractic | 512 10th Ave, Gothenberg, NE 69138-1924 | |
John A Gosnell | Optometry | 829 Lake Ave, Gothenburg, NE 69138-1943 | |
Royce Lydell Hiebner | Chiropractic | 815 Lake Ave, Gothenburg, NE 69138-1943 | |
Kimberly A Johnson | Optometry | 902 Ave D, Suite 102b, Gothenburg, NE 69138-1955 |
City | GOTHENBURG |
Zip Code | 69138 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | GOTHENBURG + ORTHOPEDIC SURGERY |
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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.