Tara L Callison (NPI# 1639577547, PAC ID# 9032434998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639577547 |
| PAC ID by PECOS | 9032434998 |
| Professional Enrollment ID | I20150217001736 |
| Full Name | Tara L Callison |
| Organization Legal Name | AVERA ST ANTHONYS HOSPITAL |
| Address |
202 Nebraska St Avera Medical Group Ewing Ewing NE 68735-9513 |
| Phone Number | 4026267546 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486548203 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281329 | AVERA ST ANTHONY'S HOSPITAL |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 202 Nebraska St, Avera Medical Group Ewing, Ewing, NE 68735-9513 | 4026267546 | AVERA ST ANTHONYS HOSPITAL |
| 300 N 2nd St, O'neill, NE 68763-1514 | 4023362611 | AVERA ST ANTHONYS HOSPITAL |
| 139 S 40th St, Omaha, NE 68131-3003 | 4025953939 | UNMC PHYSICIANS |
| 3685 N 129th St, Omaha, NE 68164-5211 | 4025953993 | UNMC PHYSICIANS |
| Emile 42nd St, Omaha, NE 68198-3280 | 4025599800 | UNMC PHYSICIANS |
| 103 N 5th St, Avera Medical Group Page, Page, NE 68766-5018 | 4023385452 | AVERA ST ANTHONYS HOSPITAL |
| Organization Legal Name | AVERA ST ANTHONYS HOSPITAL |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan A Banks | Family Medicine | Avera St Anthonys Hospital | 110 Park Ave, Chambers, NE 68725-3858 |
| Chelsey M Dierks | Physician Assistant | Avera St Anthonys Hospital | 110 Park Ave, Chambers, NE 68725-3858 |
| Barbara J Gutshall | Internal Medicine | Avera St Anthonys Hospital | 110 Park Ave, Chambers, NE 68725-3858 |
| Wayne H Scheidemann | Orthopedic Surgery | Avera St Anthonys Hospital | 300 N 2nd St, O'neill, NE 68763-1514 |
| Dean L Benson | Physician Assistant | Avera St Anthonys Hospital | 300 N 2nd St, O'neill, NE 68763-1514 |
| Joshua R Thoendel | Family Medicine | Avera St Anthonys Hospital | 110 Park Ave, Chambers, NE 68725-3858 |
| Brian P Jundt | Family Medicine | Avera St Anthonys Hospital | 300 N 2nd St, O'neill, NE 68763-1514 |
| Dena M Jundt | Family Medicine | Avera St Anthonys Hospital | 300 N 2nd St, O'neill, NE 68763-1514 |
| Joshua D Becker | Certified Registered Nurse Anesthetist (crna) | Avera St Anthonys Hospital | 300 N 2nd St, O'neill, NE 68763-1514 |
| Anthony E Akainda | General Surgery | Avera St Anthonys Hospital | 102 E S St, Rock County Hospital, Bassett, NE 68714-5512 |
| Street Address |
202 NEBRASKA ST AVERA MEDICAL GROUP EWING |
| City | EWING |
| State | NE |
| Zip | 68735-9513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Frederick | Physician Assistant | Avera St Anthonys Hospital | 202 Nebraska St, Avera Medical Group Ewing, Ewing, NE 68735-9513 |
| City | EWING |
| Zip Code | 68735 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EWING + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tara L Callison.
| 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.