Stefanie L Bolte (NPI# 1104877018, PAC ID# 6709883234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104877018 |
| PAC ID by PECOS | 6709883234 |
| Professional Enrollment ID | I20061026000125 |
| Full Name | Stefanie L Bolte |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Address |
3434 W Broadway 102 Adult and Pediatric Urology and Urogyne Council Bluffs IA 51501-3291 |
| Phone Number | 7123250014 |
| Gender | F |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8820980634 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160047 | METHODIST JENNIE EDMUNDSON |
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| 283300 | BOYS TOWN NATIONAL RESEARCH HOSPITAL |
| 161374 | MYRTUE MEDICAL CENTER |
| 160028 | CHI HEALTH MERCY COUNCIL BLUFFS |
| Address | Phone | Organization |
|---|---|---|
| 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 | 7123250014 | ADULT AND PEDIATRIC UROLOGY PC |
| 10707 Pacific St, Omaha, NE 68114-4762 | 4023977989 | ADULT AND PEDIATRIC UROLOGY PC |
| 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 4027178000 | ADULT AND PEDIATRIC UROLOGY PC |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Jaskierny Jr. | Pathology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 100, Omaha, NE 68114-4762 |
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Charles Brent Wakefield | Urology | Adult and Pediatric Urology PC | 104 W 17th St, Adult and Pediatric Urology and Urogyne, Schuyler, NE 68661-1304 |
| Donalee I Kennedy | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Michaela M Duggan | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Rebecca J Mccrery | Urology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Marnie Elizabeth Jean Thrasher | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Meghann M Reller | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| John D Horgan | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Street Address |
3434 W BROADWAY 102 ADULT AND PEDIATRIC UROLOGY AND UROGYNE |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip | 51501-3291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James L Friedlander | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Brett V Kettelhut | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| John D Horgan | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Amandeep S Mahal | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Euclid Rajkumar Joseph Desouza | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Bruce E Lundak | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| James M Tracy | Allergy/immunology | Allergy Asthma and Immunology Associates PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Joseph Matthew Wanzek Iii | Family Practice | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Curtis Schanuth | Chiropractic | 1720 N 16th St, Suite G, Council Bluffs, IA 51501-0109 | |
| Sharon A Heckathorn | Clinical Social Worker | Heartland Family Service | 1515 Ave J, Council Bluffs, IA 51501-1170 |
| Barry James Jose | Optometry | Family Eyecare Center, Inc. | 1601 Ave D, Council Bluffs, IA 51501-2510 |
| Travis John Alger | Chiropractic | 3424 W Broadway, Council Bluffs, IA 51501-3211 | |
| Wendy M Johnson | Physician Assistant | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Matthew F Fryzek | Internal Medicine | Bluffs Family Health Care PC | 3434 W Broadway, Council Bluffs, IA 51501-3291 |
| Sara Lynn Rygol | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Joyce E Vacek | Physician Assistant | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Marcy L French | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Terry Thomas Butkus | Nurse Practitioner | Alegent Creighton Clinic | 3135 W Broadway, Council Bluffs, IA 51501-3359 |
| Find all physicians in zip 51501 | |||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
| Specialty | UROLOGY |
| City + Specialty | COUNCIL BLUFFS + UROLOGY |
Please comment or provide details below to improve the information on Stefanie L Bolte.
| 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.