Richard P Bose Jr. (NPI# 1689739021, PAC ID# 9638117617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1689739021 |
PAC ID by PECOS | 9638117617 |
Professional Enrollment ID | I20050420000677 |
Full Name | Richard P Bose Jr. |
Organization Legal Name | MIDWEST PAIN CLINIC PC |
Address |
631 N 8th St Missouri Valley IA 51555-1102 |
Phone Number | 4023917246 |
Gender | M |
Credential | MD |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | ANESTHESIOLOGY |
Secondary Specialties | PAIN MANAGEMENT |
Group Practice PAC ID | 5597834291 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161363 | MONTGOMERY COUNTY MEMORIAL HOSPITAL |
280111 | COLUMBUS COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
4508 38th St, Suite 210, Columbus, NE 68601-1668 | 4023917246 | MIDWEST PAIN CLINIC PC |
631 N 8th St, Missouri Valley, IA 51555-1102 | 4023917246 | MIDWEST PAIN CLINIC PC |
825 N 90th St, Omaha, NE 68114-2706 | 4023971180 | MIDWEST PAIN CLINIC PC |
Organization Legal Name | MIDWEST PAIN CLINIC PC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly S Craig | Nurse Practitioner | Midwest Pain Clinic PC | 211 N Sioux Point Rd, Suite 200, Dakota Dunes, SD 57049-5492 |
Ashley Joi Homan | Nurse Practitioner | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
John E Cook | Anesthesiology | Midwest Pain Clinic PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
Stephanie M Simon | Nurse Practitioner | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
David A Welch | Physician Assistant | Midwest Pain Clinic PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
Kevin Balter | Interventional Pain Management | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
Rafal Krejza | Pain Management | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
David L Johnson | Physician Assistant | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
Staci L Schweder | Nurse Practitioner | Midwest Pain Clinic PC | 211 Sioux Point Rd, Suite 200, Dakota Dunes, SD 57049-5492 |
Frederick E Youngblood | Anesthesiology | Midwest Pain Clinic PC | 825 N 90th St, Omaha, NE 68114-2706 |
Street Address |
631 N 8TH ST |
City | MISSOURI VALLEY |
State | IA |
Zip | 51555-1102 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Jean Hall | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Michael J Morrison | Orthopedic Surgery | Omaha Orthopedic Clinic and Sports Medicine PC | 631 N 8th St, Chi Missouri Valley Hospital, Missouri Valley, IA 51555-1102 |
Sharon Louise Pitt | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Ahmad Alchommali | Emergency Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Health Cmh Practitioner Services, Missouri Valley, IA 51555-1102 |
Patricia Ellen Morrow | Qualified Audiologist | Central Plains Ent, PC | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Daniel H Richter | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Creighton Clinic Missouri Valley, Missouri Valley, IA 51555-1102 |
Vanessa C Chen | Hospitalist | Alegent Creighton Clinic | 631 N 8th St, Missouri Valley, IA 51555-1102 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alyssa K Blum | Physician Assistant | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 809 Elm St, Missouri Valley, IA 51555-1140 |
Teena M Seguin | Clinical Social Worker | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Micaela E Lee | Clinical Social Worker | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Nancy E Cyr | Clinical Social Worker | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Hillary Mae Stevenson | Nurse Practitioner | Alegent Creighton Health | 809 E Elm St, Alegent Creighton Health Psychiatric, Missouri Valley, IA 51555-1140 |
Robert D Cunard | Family Practice | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 809 E Elm St, Missouri Valley, IA 51555-1140 |
Sarah Elizabeth Nabors | Optometry | Vision Care Clinic PC | 308 E Erie St, Missouri Valley, IA 51555-1619 |
David Wade Hoffman | Chiropractic | 504 E Erie St, Missouri Valley, IA 51555-1647 | |
James D Hoyt | Chiropractic | 423 E Erie St, Missouri Valley, IA 51555-1690 |
City | MISSOURI VALLEY |
Zip Code | 51555 |
Specialty | ANESTHESIOLOGY |
City + Specialty | MISSOURI VALLEY + ANESTHESIOLOGY |
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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.