Douglas F Ruzicka (NPI# 1932170966, PAC ID# 9638188972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1932170966 |
| PAC ID by PECOS | 9638188972 |
| Professional Enrollment ID | I20060413000370 |
| Full Name | Douglas F Ruzicka |
| Organization Legal Name | JEFFERSON COMMUNITY HEALTH CENTER INC |
| Address |
2200 H St Fairbury NE 68352-1119 |
| Phone Number | 4027293351 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2668574542 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281319 | JEFFERSON COMMUNITY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 H St, Fairbury, NE 68352-1119 | 4027293351 | JEFFERSON COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | JEFFERSON COMMUNITY HEALTH CENTER INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blatny Jr. | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Craig J. Shumard | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Brett R Wergin | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Richard A Blatny Sr. | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Street Address |
2200 H ST |
| City | FAIRBURY |
| State | NE |
| Zip | 68352-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Robert Fiedler | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 2200 H St, Jefferson Community Health Center, Fairbury, NE 68352-1119 |
| Howard R Semm | Otolaryngology | Ear, Nose and Throat Specialties, P.C. | 2200 H St, Fairbury, NE 68352-1119 |
| Richard A Blatny Jr. | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Craig J. Shumard | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Brett R Wergin | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Erin R Kruse | Qualified Audiologist | Ear, Nose and Throat Specialties, P.C. | 2200 H St, Fairbury, NE 68352-1119 |
| Richard A Blatny Sr. | Family Medicine | Jefferson Community Health Center Inc | 2200 H St, Fairbury, NE 68352-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Botz | Chiropractic | 925 14th St, Fairbury, NE 68352-1603 | |
| Allen E Meyer | Psychologist, Clinical | 510 D St, Suite 2, Fairbury, NE 68352-2318 | |
| Jeffrey J Johnson | Optometry | 523 E St, Fairbury, NE 68352-2323 | |
| Thayne Alan Tatro | Chiropractic | 414 E St, Fairbury, NE 68352-2535 |
| City | FAIRBURY |
| Zip Code | 68352 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas F Ruzicka.
| 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.