Jason Lincoln Kelly (NPI# 1659324473, PAC ID# 4385635606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1659324473 |
PAC ID by PECOS | 4385635606 |
Professional Enrollment ID | I20090501000226 |
Full Name | Jason Lincoln Kelly |
Organization Legal Name | RADIOLOGY IMAGING OF NEBRASKA, LLC |
Address |
3911 Ave B Scottsbluff NE 69361-4617 |
Phone Number | 3086353033 |
Gender | M |
Credential | MD |
Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
Graduation Year | 1997 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 5597828269 |
Number of Group Practice Members | 82 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060112 | SKY RIDGE MEDICAL CENTER |
060034 | SWEDISH MEDICAL CENTER |
060100 | MEDICAL CENTER OF AURORA, THE |
280061 | REGIONAL WEST MEDICAL CENTER |
060113 | CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL |
Address | Phone | Organization |
---|---|---|
10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3861 | 3037619190 | HAWAII RADIOLOGIC ASSOCIATES LTD |
10700 E Geddes Ave, Englewood, CO 80112-3861 | 3037619190 | RADIOLOGY IMAGING ASSOCIATES PC |
10700 E Geddes Ave, Englewood, CO 80112-3861 | 3037619190 | HAWAII RADIOLOGIC ASSOCIATES LTD |
10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3861 | 3037619190 | RADIOLOGY IMAGING ASSOCIATES PC |
688 Kinoole St, Suite 103, Hilo, HI 96720-3868 | 8089332540 | HAWAII RADIOLOGIC ASSOCIATES LTD |
688 Kinoole St, Hilo, HI 96720-3868 | 8089332540 | HAWAII RADIOLOGIC ASSOCIATES LTD |
75-5653 Kuakini Hwy 110, Kailua Kona, HI 96740-1650 | 8083297314 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
75-5653 Kuakini Hwy 110, Kailua Kona, HI 96740-1650 | RADIOLOGY IMAGING ASSOCIATES PC | |
3911 Ave B, Scottsbluff, NE 69361-4617 | 3086353033 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
4021 Ave B, Scottsbluff, NE 69361-4602 | 3086353711 | RADIOLOGY IMAGING OF NEBRASKA, LLC |
4021 Ave B, Scottsbluff, NE 69361-4602 | RADIOLOGY IMAGING ASSOCIATES PC |
Organization Legal Name | RADIOLOGY IMAGING OF NEBRASKA, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen C Johnson | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 1100 W 2nd St, Oshkosh, NE 69154-6096 |
Susan J Deal | Physician Assistant | Radiology Imaging of Nebraska, LLC | 4021 Ave B, Scottsbluff, NE 69361-4602 |
Luke F Hoagland | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 4021 Ave B, Scottsbluff, NE 69361-4602 |
Street Address |
3911 AVE B |
City | SCOTTSBLUFF |
State | NE |
Zip | 69361-4617 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michaela Katz | Physician Assistant | Regional West Physicians Clinic | 3911 Ave B, Scottsbluff, NE 69361-4617 |
Patrick Brown | Family Medicine | Regional West Physicians Clinic | 3911 Ave B, Suite 3400, Scottsbluff, NE 69361-4617 |
Janielle Hyde | Neurology | Regional West Physicians Clinic | 3911 Ave B, Suite 2300, Scottsbluff, NE 69361-4617 |
John N Kabalin | Urology | 3911 Ave B, Suite 2200, Scottsbluff, NE 69361-4617 | |
Song Md Hong | Pulmonary Disease | Regional West Physicians Clinic | 3911 Ave B, Suite 1100, Scottsbluff, NE 69361-4617 |
Michelle L Cheloha | Family Medicine | Regional West Physicians Clinic | 3911 Ave B, Scottsbluff, NE 69361-4617 |
Omar F Jimenez | Neurosurgery | Regional West Physicians Clinic | 3911 Ave B, Scottsbluff, NE 69361-4617 |
Jennifer Griebel | Nurse Practitioner | Regional West Physicians Clinic | 3911 Ave B, Suite 1100, Scottsbluff, NE 69361-4617 |
Dorisa L Polk | Obstetrics/gynecology | Regional West Physicians Clinic | 3911 Ave B, Scottsbluff, NE 69361-4617 |
Brittany Rose Eirich | Internal Medicine | Regional West Physicians Clinic | 3911 Ave B, Suite 1100, Scottsbluff, NE 69361-4617 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Schlothauer | Nurse Practitioner | Regional West Physicians Clinic | 2 W 42nd St, Suite 3500, Scottsbluff, NE 69361-0606 |
Jeffrey A Holloway | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
Bradley K Hertzler | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
Joshua L Pringle | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
Rajendra K Motwani | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
Jennifer A Cerutti | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
Jacob J Krieg | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
Jon Michael Darnell | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
Renell H Sinha | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
Susan Elaine Martinez | Clinical Social Worker | 2626 Broadway, Scottsbluff, NE 69361-1608 | |
Find all physicians in zip 69361 |
City | SCOTTSBLUFF |
Zip Code | 69361 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | SCOTTSBLUFF + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason Lincoln Kelly.
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.