DR. CLAYTON JOSE FRIESEN (NPI# 1073695037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073695037 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON JOSE FRIESEN |
| Credential | M.D. |
| Practice Address |
3515 Richmond Circle Grand Island NE 68803-4965 |
| Mailing Address |
7440 South 91st Street Lincoln NE 68526-9797 |
| Practice Telephone | 3083818636 |
| Practice Fax Number | 3083818622 |
| Mailing Telephone | 4024896555 |
| Mailing Fax Number | 4023283770 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 22964 | NE | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
22964 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026072400 | 05 | |
| NE | 47070592306 | 05 | |
| NE | 47070592313 | 05 | |
| NE | 47070592300 | 05 | |
| IA | 0401410 | 05 | |
| NE | 10026072300 | 05 | |
| NE | 47070592305 | 05 | |
| NE | 47070592301 | 05 | |
| NE | 47070592302 | 05 | |
| NE | 10026072500 | 05 | |
| KS | 200536770A | 05 | |
| IA | 2401410 | 05 |
| Street Address |
3515 RICHMOND CIRCLE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228966 | Jeffrey K. King | Internal Medicine | 3515 Richmond Circle, Grand Island, NE 68803-4965 | 2005-07-14 |
| 1295840130 | Douglas Lee Kosmicki | Internal Medicine | 3515 Richmond Circle, Grand Island, NE 68803-4965 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903068 | Matrix Medical Network of Nebraska PC | Internal Medicine | 233 S 13th St Ste 1900, Lincoln, NE 68508-2000 | 2020-05-08 |
| 1700417391 | Poudre Valley Medical Group, LLC | Internal Medicine | 2 W 42nd St Ste 2200, Scottsbluff, NE 69361-4669 | 2020-02-01 |
| 1467906487 | Arif Ishaq Albulushi | Internal Medicine | 9011 Burt St, Apt 106, Omaha, NE 68114-2477 | 2016-08-08 |
| 1578796207 | Krishna Naag Velagapudi | Internal Medicine | 110 N 29th St Ste 301, Norfolk, NE 68701-4466 | 2009-08-28 |
| 1639333883 | James N Karnegis | Internal Medicine | 20975 Bonanza Blvd, Elkhorn, NE 68022-1838 | 2008-07-16 |
| 1780725580 | Richard James Markiewicz | Internal Medicine | 601 W Leota St., North Platte, NE 69101 | 2007-02-12 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1316025505 | Robert Lee Percell Jr. | Internal Medicine | 1600 S 48th St Ste 600, Lincoln, NE 68506-1275 | 2006-11-02 |
| 1861503427 | Antonio P Reyes | Internal Medicine | 4239 Farnam St Ste 100, Omaha, NE 68131-2858 | 2006-08-31 |
| 1184739989 | Dennis J Esterbrooks | Internal Medicine | 2412 Cuming St, Omaha, NE 68131-1601 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
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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.