MD WEST ONE, PC (NPI# 1164049490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164049490 |
| Entity Type | Organization |
| Organization Name | MD WEST ONE, PC |
| Practice Address |
808 E Pierce St Council Bluffs IA 51503-4600 |
| Mailing Address |
8005 Farnam Dr Ste 305 Omaha NE 68114-3426 |
| Practice Telephone | 4023904111 |
| Practice Fax Number | 4023998455 |
| Mailing Telephone | 4023904111 |
| Mailing Fax Number | 4023998455 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | STACIE CHURCH (CFO/BUSINESS MANAGER) |
| Authorized Official Telephone | 4023989243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787783 | Md West One, PC | Neurological Surgery | 7710 Mercy Rd Ste 224, Omaha, NE 68124-2346 | 2017-05-17 |
| 1053848390 | Md West One, PC | Neurological Surgery | 3301 E Elkhorn Dr Ste 100, Fremont, NE 68025-6240 | 2017-05-17 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1164690574 | Md West One, PC | Orthopaedic Surgery | 201 Ridge St Ste 311, Council Bluffs, IA 51503-4643 | 2008-02-19 |
| 1760028153 | Md West One, PC | Neurological Surgery | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2019-11-21 |
| 1396272498 | Md West One, PC | Neurological Surgery | 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 | 2017-05-19 |
| 1669909909 | Md West One, PC | Orthopaedic Surgery | 2510 Bellevue Medical Center Dr Ste 145, Bellevue, NE 68123-1556 | 2017-05-17 |
| 1922535236 | Md West One, PC | Neurological Surgery | 17030 Lakeside Hills Plz Ste 200, Omaha, NE 68130-2396 | 2017-05-17 |
| 1003142159 | Md West One, PC | Neurological Surgery | 2301 Eastern Ave, Red Oak, IA 51566-1300 | 2009-10-26 |
| 1114162401 | Md West One, PC | Neurological Surgery | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2008-12-16 |
| Street Address |
808 E PIERCE ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636776 | Mallory Lloyd | Nurse Practitioner | 808 E Pierce St, Council Bluffs, IA 51503-4600 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061400 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 808 East Pierce Street, Council Bluffs, IA 51503-4626 | 2020-04-09 |
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1194020602 | Iowa Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 545 W. Washington St, Council Bluffs, IA 51503-0771 | 2011-01-13 |
| 1548497936 | Klemke Medical, Inc | Durable Medical Equipment & Medical Supplies | 623 W Broadway Ste 102, Council Bluffs, IA 51503-4220 | 2009-06-12 |
| 1407092844 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3804 Metro Dr, Council Bluffs, IA 51501-7732 | 2009-01-06 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| 1821162785 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1920 Rue St Ste 1, Council Bluffs, IA 51503-3601 | 2006-11-20 |
| 1417034539 | Specshoppeinc | Durable Medical Equipment & Medical Supplies | 301 W Pierce St, Council Bluffs, IA 51503-9018 | 2006-11-01 |
| 1609952191 | 20-20 Vision Wear Ltd | Durable Medical Equipment & Medical Supplies | 130 W Broadway, Council Bluffs, IA 51503-4311 | 2006-10-27 |
| 1801983010 | Tye Inc | Durable Medical Equipment & Medical Supplies | 2600 W Broadway, Council Bluffs, IA 51501-3512 | 2006-10-07 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on MD WEST ONE, PC.
| 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.