GRAND ISLAND REGIONAL MEDICAL CENTER (NPI# 1225658495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225658495 |
| Entity Type | Organization |
| Organization Name | GRAND ISLAND REGIONAL MEDICAL CENTER |
| Practice Address |
3533 Prairieview St. Grand Island NE 68802-5225 |
| Mailing Address |
Po Box 5225 Grand Island NE 68802-5225 |
| Practice Telephone | 3086755000 |
| Mailing Telephone | 3086755000 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | SHANE STAVA (CFO) |
| Authorized Official Telephone | 3086754439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| Street Address |
3533 PRAIRIEVIEW ST. |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68802-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026312 | Abbie Kelley | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-13 |
| 1831205152 | Orthopaedic Surgicenter Inc | Clinic/Center | 810 Diers Avenue, Suite A, Grand Island, NE 68802 | 2006-08-21 |
| 1336187905 | Elizabeth Ann Heidt Kozisek | Psychologist | 1932 Aspen Circle, Suite J, Grand Island, NE 68802 | 2006-06-03 |
| 1932191301 | Jennifer Mcclure | Physical Therapist | West Faidley Medical Center, 620 N. Diers, Suite 300, Grand Island, NE 68802 | 2005-08-22 |
| 1396226668 | Dawn Lutz | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1104307461 | Kim Woitaszewski | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-08-24 |
| 1154816049 | Jennifer Nowicki | Registered Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-25 |
| 1033603386 | Monti Starkey | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-20 |
| 1649764226 | Kellie Brittain | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-18 |
| 1518450469 | Delynn Karr | Licensed Practical Nurse | 123 S. Webb Rd., Grand Island, NE 68802 | 2018-06-14 |
| Find all providers in zip 68802 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285160614 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 750 Allen Drive, Grand Island, NE 68803-3337 | 2017-05-04 |
| 1508357930 | Midwest Emergency Grand Island Inc | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-05-22 |
| 1740782770 | Lpp of Nebraska LLC | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-03-06 |
| 1306194337 | Babak Farivar | Emergency Medicine | 2620 W Faidley Ave, Department of Emergency Medicine, Grand Island, NE 68803-4205 | 2012-08-23 |
| 1336250851 | Brian K Elliott | Emergency Medicine | 2116 W Faidley Ave, Grand Island, NE 68803-4678 | 2006-08-31 |
| 1235116963 | Michael Joseph Mcgahan | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1962900829 | Douglas J. Weedman, M.d., L.L.C. | Emergency Medicine | 210 S 16th St Apt 618, Omaha, NE 68102-1634 | 2018-01-25 |
| 1487161139 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1130 S 13th St Ste 100, Norfolk, NE 68701-5733 | 2018-01-03 |
| 1063933935 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5000 N 26th St Ste 300, Lincoln, NE 68521-4749 | 2017-06-30 |
| 1235659202 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 6005 N 72nd St Ste 101, Omaha, NE 68134-2300 | 2017-06-21 |
| 1417477498 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5062 S 155th St Ste 101, Omaha, NE 68137-5002 | 2017-06-21 |
| 1992225973 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 225 N Saddle Creek Rd Ste 101, Omaha, NE 68131-2228 | 2017-06-21 |
| 1366974776 | Cody Bonk | Emergency Medicine | 981150 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3522 | 2017-04-03 |
| 1588109508 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 8124 S 84th St, La Vista, NE 68128-3305 | 2016-12-29 |
| 1831554211 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1240 East 23rd Street, Fremont, NE 68025-2411 | 2015-12-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68802 |
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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.