Samuel O Hutchinson (NPI# 1033630934, PAC ID# 6103163365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1033630934 |
| PAC ID by PECOS | 6103163365 |
| Professional Enrollment ID | I20190125000480 |
| Full Name | Samuel O Hutchinson |
| Organization Legal Name | LUTHERAN FAMILY SERVICES OF NE INC |
| Address |
120 S 24th St Suite 100 Omaha NE 68102-1205 |
| Phone Number | 4026617100 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2163324773 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280013 | THE NEBRASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 311 S Clark St, Carroll, IA 51401-3038 | 7127923581 | ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME |
| 120 S 24th St, Suite 100, Omaha, NE 68102-1205 | 4026617100 | LUTHERAN FAMILY SERVICES OF NE INC |
| Organization Legal Name | LUTHERAN FAMILY SERVICES OF NE INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Huong Mack | Nurse Practitioner | Lutheran Family Services of Ne Inc | 2301 O St, Lincoln, NE 68510-1124 |
| Angela Kline | Physician Assistant | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Jaime Weatherholt | Clinical Social Worker | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| Tawanda Mercer | Nurse Practitioner | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Barry S Berumen | Nurse Practitioner | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Kylie Lowe | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Marquetta Williamson | Nurse Practitioner | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| David Marshall | Psychiatry | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| Debra L Bodtke | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Cory Lee Rabe | Nurse Practitioner | Lutheran Family Services of Ne Inc | 2301 O St, Lincoln, NE 68510-1124 |
| Street Address |
120 S 24TH ST SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip | 68102-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Weatherholt | Clinical Social Worker | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| Marquetta Williamson | Nurse Practitioner | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| David Marshall | Psychiatry | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| Kimberly K Camp-grimit | Nurse Practitioner | Lutheran Family Services of Ne Inc | 120 S 24th St, Suite 100, Omaha, NE 68102-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Kline | Physician Assistant | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Tawanda Mercer | Nurse Practitioner | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Barry S Berumen | Nurse Practitioner | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Kylie Lowe | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Debra L Bodtke | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Gail K Dillemuth | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Martha E Wilson | Clinical Social Worker | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Matthew D Dobbertin | Psychiatry | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Joseph G Councill | Nurse Practitioner | Lutheran Family Services of Ne Inc | 124 S 24th St, Omaha, NE 68102-1226 |
| Lucas J Collin | Physical Therapy | Community Rehab, LLC | 2027 Dodge St, Omaha, NE 68102-1240 |
| Find all physicians in zip 68102 | |||
| City | OMAHA |
| Zip Code | 68102 |
| Specialty | PSYCHIATRY |
| City + Specialty | OMAHA + PSYCHIATRY |
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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.