MELISSA RAE STADE (NPI# 1164543674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164543674 |
| Entity Type | Individual |
| Full Name | MELISSA RAE STADE |
| Credential | M.D. |
| Practice Address |
816 22nd Ave Suite 100 Kearney NE 68845-2234 |
| Practice Telephone | 3088652263 |
| Practice Fax Number | 3088652541 |
| Mailing Telephone | 3088652263 |
| Mailing Fax Number | 3088652541 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 24103 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
816 22ND AVE SUITE 100 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819158 | Scott Smith | Internal Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2005-11-23 |
| 1942618160 | Timothy Alford | Physician Assistant | 816 22nd Ave, Kearney, NE 68845 | 2014-07-31 |
| 1942623541 | Sadie Johnson | Physician Assistant | 816 22nd Ave, Suite 100, Kearney, NE 68845 | 2014-02-03 |
| 1790063014 | Anirban Ghosh | Internal Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2011-08-03 |
| 1922238732 | Randall Lee Goldfish | Family Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2009-07-15 |
| 1265516025 | Deena R Sughroue | Nurse Practitioner | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-10-25 |
| 1316021108 | Dawn M Murray | Family Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-10-25 |
| 1134203920 | Chadd S Murray | Family Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-10-25 |
| 1518971282 | Jason D Walsh | Surgery | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-07-28 |
| 1760410823 | Gopikrishnan Vasudevan | Internal Medicine | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827204 | James R Waltz | Surgery | 15724 Oakmont Dr, Kearney, MO 64060-9251 | 2009-04-14 |
| 1235529173 | Larry E Bragg LLC | Surgery | 3515 30th Ave, Kearney, NE 68845-2298 | 2015-01-30 |
| 1205277225 | Brittney Maloley-lewis | Surgery | 211 W 33rd St, Kearney, NE 68845-3484 | 2013-07-08 |
| 1922169663 | Brady James O'hare | Surgery | 211 W 33rd St, Kearney, NE 68845-3484 | 2006-12-13 |
| 1417031295 | William Thomas Sorrell | Surgery | 211 West 33rd Street, Kearney, NE 68845 | 2006-10-25 |
| 1750465548 | Jeffery T Merz | Surgery | 211 West 33rd Street, Kearney, NE 68845 | 2006-10-25 |
| 1619051414 | Larry E Bragg | Surgery | 3515 30th Ave, Kearney, NE 68845-2298 | 2006-10-25 |
| 1518971282 | Jason D Walsh | Surgery | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821788 | Binghua Li | Surgery | 7710 Mercy Rd Ste 202 Cu-department of Surgery, Omaha, NE 68124-2353 | 2019-06-27 |
| 1225514185 | Lillia Cherkasskiy | Surgery | 7710 Mercy Road, Suite 202- Cu Department of Surgery, Omaha, NE 68124-2353 | 2018-07-13 |
| 1114441326 | Charles David Voigt | Surgery | 7710 Mercy Rd Ste 202 Cu Department of Surgery, Omaha, NE 68124-2368 | 2017-07-29 |
| 1992226617 | Andy W. Yang | Surgery | 7710 Mercy Road, Suite 202, Cumc Department of Surgery, Omaha, NE 68124-2353 | 2017-07-03 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1104279314 | German Eduardo Mendoza | Surgery | 601 N. 30th St. - Cu Dept of Surgery, Omaha, NE 68131-2128 | 2016-07-22 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1710360730 | Timothy Hallman | Surgery | 601 N. 30th St. -- Cu Department of Surgery, Omaha, NE 68131 | 2015-07-08 |
| 1356723225 | Bhavani Pokala | Surgery | 1015 N 14th St # 215, Omaha, NE 68102-4205 | 2015-06-26 |
| 1043692494 | Joshua Belle | Surgery | 983230 Nebraska Medical Ctr, Omaha, NE 68198-6426 | 2015-06-22 |
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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.