Eugene A Waltke (NPI# 1972588119, PAC ID# 3779662580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1972588119 |
| PAC ID by PECOS | 3779662580 |
| Professional Enrollment ID | I20100526001033 |
| Full Name | Eugene A Waltke |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
10060 Regency Circle Omaha NE 68114-3727 |
| Phone Number | 4023541570 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 334 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | METHODIST HOSPITAL |
| 161363 | MONTGOMERY COUNTY MEMORIAL HOSPITAL |
| 161376 | CASS COUNTY MEMORIAL HOSPITAL |
| 280060 | CHI HLTH CREIGHTON UNIVERSITY MED CTR-BERGAN MERCY |
| 160047 | METHODIST JENNIE EDMUNDSON |
| Address | Phone | Organization |
|---|---|---|
| 1 Edmundson Pl, Council Bluffs, IA 51503-4658 | 7123964360 | PHYSICIANS CLINIC INC |
| 1 Edmundson Pl, 310 Methodist Physicians Clinic Council Bluffs, Council Bluffs, IA 51503-4658 | 7123964360 | PHYSICIANS CLINIC INC |
| 10060 Regency Circle, Omaha, NE 68114-3727 | 4023541570 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Stephen Tetrault | Family Medicine | Physicians Clinic Inc | 17675 Welch Plz, Omaha, NE 68135-3453 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Street Address |
10060 REGENCY CIRCLE |
| City | OMAHA |
| State | NE |
| Zip | 68114-3727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith A Scott | Obstetrics/gynecology | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Jeffrey S Sartin | Infectious Disease | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Joseph M Evans | Hospitalist | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Joseph C Stolp | Hospitalist | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Justin Morar | Family Medicine | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Steven J Buda | General Surgery | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Rudolf J Kotula | Infectious Disease | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Jeffrey Jenkins | Family Medicine | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Steven M Williams | Family Medicine | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Bryan A Knipe | Hospitalist | Physicians Clinic Inc | 10060 Regency Circle, Omaha, NE 68114-3727 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Amy L Swerczek | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Sarah M. Schmuecker | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Frank Mezzacappa | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Edmund O Fiksinski | Interventional Cardiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Erin Renee Brummett | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Patrick G. Meyers | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Jeffrey Michael Mahoney | Cardiac Electrophysiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Robert E Wear Iii | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Adam D Wells | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 102 Methodist Physicians Clinic Pulmonary Medicine Spe, Omaha, NE 68114-1119 |
| Find all physicians in zip 68114 | |||
| City | OMAHA |
| Zip Code | 68114 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | OMAHA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Eugene A Waltke.
| 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.