PLATTE VALLEY WOMENS HEALTHCARE, PC (NPI# 1316206923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316206923 |
| Entity Type | Organization |
| Organization Name | PLATTE VALLEY WOMENS HEALTHCARE, PC |
| Practice Address |
810 W Reid Ave Suite 4 North Platte NE 69101-6583 |
| Practice Telephone | 3085340090 |
| Practice Fax Number | 3085340091 |
| Mailing Telephone | 3085340090 |
| Mailing Fax Number | 3085340091 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | KELLEY A HASENAUER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3085340090 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
110460 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 18908 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
810 W REID AVE SUITE 4 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679546667 | Jennifer Elizabeth Anthony | Pharmacist | 810 W Reid Ave, North Platte, NE 69101-6583 | 2006-02-09 |
| 1265887160 | Eye Care Professionals, LLC | Eyewear Supplier (Equipment, not the service) | 810 W Reid Ave, Suite #2, North Platte, NE 69101-6582 | 2016-04-28 |
| 1467525451 | Kara Joan Kreis | Pharmacist | 810 W Reid Ave, North Platte, NE 69101-6583 | 2006-11-16 |
| 1780699132 | Kelley Anne Hasenauer | Nurse Practitioner | 810 W Reid Ave, Suite 4, North Platte, NE 69101-6583 | 2006-07-31 |
| 1699749812 | Mark Christopher Kenny | Pharmacist | 810 W Reid Ave, North Platte, NE 69101-6583 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265793137 | Benjamin Klug | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2012-06-06 |
| 1902813306 | Michael James Bianco | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2006-08-01 |
| 1922015312 | Walter Robert Weaver | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2006-08-01 |
| 1215942677 | North Platte Ob/gyn PC | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2006-07-31 |
| 1073528410 | Yongsik Chris Johng | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2006-07-31 |
| 1245202001 | Amy C Short | Obstetrics & Gynecology | 1115 S Willow St, North Platte, NE 69101-6082 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468937 | Keith William Vrbicky Jr. | Obstetrics & Gynecology | 7710 Mercy Road, Suite 202 - Cu Department of Ob/gyn, Omaha, NE 68124 | 2019-06-29 |
| 1629639562 | Anna Adamson | Obstetrics & Gynecology | 983255 Nebraska Medica Center, Omaha, NE 68198-3255 | 2019-06-21 |
| 1265956908 | Dominique Boudreau Boadwine | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2017-08-02 |
| 1346761061 | Meredith Shama | Obstetrics & Gynecology | 7710 Mercy Rd Ste 202-cu Department of Obgyn, Omaha, NE 68124 | 2017-07-03 |
| 1669824405 | Sarah Katherine Schultz | Obstetrics & Gynecology | 11109 S 84th St Ste 4800, Papillion, NE 68046-4184 | 2016-07-05 |
| 1205276326 | Lauren Ashley Anderson | Obstetrics & Gynecology | 16909 Lakeside Hills Ct Ste 401, Omaha, NE 68130-4661 | 2013-07-03 |
| 1013271238 | Amanda Mary Wilson | Obstetrics & Gynecology | 4508 38th St Ste 260, Columbus, NE 68601-1636 | 2012-07-03 |
| 1952660573 | Gina M Torpin | Obstetrics & Gynecology | 983255 Nebraska Medical Center, Omaha, NE 68198-3255 | 2012-05-16 |
| 1033483011 | Kirsch Medical Aesthetic Associates | Obstetrics & Gynecology | 11623 Arbor St Ste 101, Omaha, NE 68144-2996 | 2012-03-08 |
| 1699084350 | Sarah Rachelle Lundin | Obstetrics & Gynecology | 2420 S 113th St, Omaha, NE 68144-3028 | 2010-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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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.