JASON R HADENFELDT (NPI# 1225031776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225031776 |
| Entity Type | Individual |
| Full Name | JASON R HADENFELDT |
| Credential | P.A. |
| Practice Address |
620 N Diers Ave Ste 200 Grand Island NE 68803-4985 |
| Practice Telephone | 3083845400 |
| Practice Fax Number | 3083845201 |
| Mailing Telephone | 3083845400 |
| Mailing Fax Number | 3083845201 |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
986 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NPI | 1225031776 | 01 |
| Street Address |
620 N DIERS AVE STE 200 |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4985 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326595422 | Fawn Weihl | Physician Assistant | 620 N Diers Ave, Ste. 200, Grand Island, NE 68803-4984 | 2016-09-07 |
| 1831564871 | Michael Joseph Cabrera | Physician Assistant | 820 N Alpha St, Grand Island, NE 68803-4320 | 2015-12-02 |
| 1598768046 | Kimberley F Gangwish | Physician Assistant | 620 N Diers Ave, Ste 200, Grand Island, NE 68803-4984 | 2005-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063733988 | Seth Lauterbach | Physician Assistant | 1017 Grove Avenue, Crete, NE 68333 | 2010-06-15 |
| 1518031194 | Peter W Hunt | Physician Assistant | Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-17 |
| 1285643189 | Charles E Scholtes | Physician Assistant | 8207 Northwoods Drive, Lincoln, NE 68505-2093 | 2006-08-07 |
| 1447237284 | Todd Allen Sorensen | Physician Assistant | 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 | 2005-12-22 |
| 1609851005 | Timothy J Yrastorza | Physician Assistant | 4740 A St, Suite 100, Lincoln, NE 68510-4824 | 2005-12-08 |
| 1972597466 | Joseph D Blankenship | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2005-09-09 |
| 1972596435 | Hyla Rosmary Robbins | Physician Assistant | 55mdg 2501 Capehart Rd., Offutt Afb, NE 68113-2160 | 2005-08-30 |
| 1457354789 | Jennifer Chavez | Physician Assistant | 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 | 2005-05-31 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1336763879 | Makenzie Polacek | Physician Assistant | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on JASON R HADENFELDT.
| 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.