CHENEY RIDGE FAMILY MEDICAL CLINIC, PC (NPI# 1003044660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003044660 |
| Entity Type | Organization |
| Organization Name | CHENEY RIDGE FAMILY MEDICAL CLINIC, PC |
| Practice Address |
3540 Village Dr Suite 100 Lincoln NE 68516-4706 |
| Practice Telephone | 4024207113 |
| Mailing Telephone | 4024207113 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | PATRICK J BERTOLINI (PRESIDENT) |
| Authorized Official Telephone | 4024207113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16656 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367909 | Cheney Ridge Family Medical Clinic, PC | Family Medicine | 3540 Village Dr Ste 100, Lincoln, NE 68516-4706 | 2018-12-16 |
| Street Address |
3540 VILLAGE DR SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330189 | Patrick J Bertolini | Family Medicine | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2006-05-10 |
| 1619071206 | Kelly Lynn Thelen | Nurse Practitioner | 3540 Village Dr, Suite 100, Lincoln, NE 68516-4706 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194202358 | Lmmc Lincoln, LLC | General Practice | 300 N 44th St Ste 102, Lincoln, NE 68503-3415 | 2018-07-20 |
| 1356605117 | Laura Marie Peterson | General Practice | 8330 Cheney Ridge Rd Apt 439, Lincoln, NE 68516-3820 | 2012-06-26 |
| 1033230743 | Roger E Cox | General Practice | 1814 Grand Pheasant Ln, Lincoln, CA 95648-7700 | 2007-04-02 |
| 1205832029 | Anchor Medical Associates | General Practice | 1 Commerce St Ste 100, Lincoln, RI 02865-1186 | 2005-06-27 |
| 1447712393 | Delia Marie Gilbertsen | General Practice | 3220 W Van Dorn St, Lincoln, NE 68522-9278 | 2019-04-01 |
| 1467955641 | Ferguson Life Health Centers of Nebraska | General Practice | 4747 Pioneers Blvd Ste 600, Lincoln, NE 68506-5332 | 2018-03-14 |
| 1235316282 | Chiropractic Neurology & Sports Rehab, LLC | General Practice | 6200 S 58th St Ste A, Lincoln, NE 68516-6406 | 2008-01-22 |
| 1376611616 | Gerald William Wilkins | General Practice | 15th & U Streets, University Health Center, Lincoln, NE 68588-0618 | 2006-12-04 |
| 1053403931 | Nancy J Ingham | General Practice | 3910 Village Dr, Lincoln, NE 68516 | 2006-09-29 |
| 1760584387 | Dennis M Connolly | General Practice | 3910 Village Dr, Lincoln, NE 68516-4783 | 2006-09-03 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.