Jason Theodore (NPI# 1629535521, PAC ID# 4082943543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629535521 |
| PAC ID by PECOS | 4082943543 |
| Professional Enrollment ID | I20190909001245 |
| Full Name | Jason Theodore |
| Organization Legal Name | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC. |
| Address |
914 Baumann Dr Grand Island NE 68803-4401 |
| Phone Number | 3083855250 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375595853 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 914 Baumann Dr, Grand Island, NE 68803-4401 | 3083855250 | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC. |
| Organization Legal Name | MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Navdeep Sood | Psychiatry | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Tracey L Hamor | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| James Buettner | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Linda Sue Berry | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Alan Nmi Baumgardner | Physician Assistant | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Street Address |
914 BAUMANN DR |
| City | GRAND ISLAND |
| State | NE |
| Zip | 68803-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Navdeep Sood | Psychiatry | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Tracey L Hamor | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| James Buettner | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Linda Sue Berry | Nurse Practitioner | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Alan Nmi Baumgardner | Physician Assistant | Mid-plains Center for Behavioral Healthcare Services, Inc. | 914 Baumann Dr, Grand Island, NE 68803-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha A Carlson | Clinical Psychologist | 3532 W Capital Ave, Grand Island, NE 68803-1205 | |
| Susan G Lindblad | Clinical Psychologist | Family Resources of Greater Nebraska PC | 3532 W Capital Ave, Grand Island, NE 68803-1205 |
| Joyce Heger | Clinical Social Worker | Family Resources of Greater Nebraska PC | 3532 W Capital Ave, Grand Island, NE 68803-1205 |
| Andrew Brugman | Chiropractic | Active Family Chiropractic and Acupuncture PC | 2441 N Diers Ave, Grand Island, NE 68803-1240 |
| Monica C Schmucker | Nurse Practitioner | Heartland Health Center Inc | 3307 W Capital Ave, Grand Island, NE 68803-1334 |
| Kirsten Rohde | Nurse Practitioner | Heartland Health Center Inc | 3307 W Capital Ave, Grand Island, NE 68803-1334 |
| Thomas G Cobler Jr. | Chiropractic | Cobler Chiropractic Inc | 2237 N Webb Rd, Grand Island, NE 68803-1740 |
| Mitchell L Maire | Chiropractic | Cobler Chiropractic Inc | 2237 N Webb Rd, Grand Island, NE 68803-1740 |
| Jayne E Halsey | Clinical Social Worker | 2121 N Webb Rd, Suite 300, Grand Island, NE 68803-1751 | |
| Nicholas R Rech | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 2300 W Capitol Ave, Grand Island Veterans Home, Grand Island, NE 68803-2003 |
| Find all physicians in zip 68803 | |||
| City | GRAND ISLAND |
| Zip Code | 68803 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND ISLAND + PHYSICIAN ASSISTANT |
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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.