DR. RYAN BRUCE ISHERWOOD (NPI# 1346446234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346446234 |
| Entity Type | Individual |
| Full Name | DR. RYAN BRUCE ISHERWOOD |
| Credential | M.D. |
| Practice Address |
11946 Standing Stone Dr Gretna NE 68028-8094 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4028154500 |
| Practice Fax Number | 4028154510 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | TEP 5427 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1346446234 | 05 | |
| NE | 10026480100 | 05 | |
| NE | 47068731734 | 05 | |
| NE | 47068731749 | 05 | |
| NE | 47068731741 | 05 |
| Street Address |
11946 STANDING STONE DR |
| City | GRETNA |
| State | NE |
| Zip Code | 68028-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962516450 | Laura L Anderson | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2006-08-19 |
| 1134583024 | Priscilla Soth Lacroix | Pediatrics | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2016-04-07 |
| 1952787152 | Lexi Toft | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2015-08-11 |
| 1902246747 | Emily K Bendlin | Pediatrics | 11946 Standing Stone Dr, Gretna, NE 68028 | 2013-06-25 |
| 1336450899 | Amanda Jo Buskevicius | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2010-06-29 |
| 1568617504 | Sirenia Knight | Nurse Practitioner | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2008-11-18 |
| 1508085929 | Aimee M Probasco | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2007-04-24 |
| 1174618730 | Katrena Lee Lacey | Internal Medicine | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1093235012 | Harmony Rae Ames | Speech-Language Pathologist | 11705 S. 216th Street, Gretna, NE 68028 | 2017-06-21 |
| 1285003517 | Mari Monono | Speech-Language Pathologist | 11717 S. 216th St.2, Gretna, NE 68028 | 2015-09-16 |
| 1275967655 | Reichert Family Dentistry | Dentist | 11812 Standing Stone Drive, Gretna, NE 68028 | 2013-08-21 |
| 1124366851 | U-save Pharmacy Inc | Pharmacy | 611 N Highway 6, Gretna, NE 68028 | 2013-01-31 |
| 1225309115 | Gretna Volunteer Fire and Rescue Department | Ambulance | 11175 S. 204th St, Gretna, NE 68028 | 2012-01-24 |
| 1568781722 | Carrie Ann Mcgleinnaiss | Pharmacist | 11350 Wickersham Blvd, Wal-mart Pharmacy, Gretna, NE 68028 | 2010-05-26 |
| 1861657249 | Mosaic Inc | Day Training/Habilitation Specialist | 913 Village Square, Gretna, NE 68028 | 2008-07-24 |
| 1730224189 | Best In Vision | Eyewear Supplier (Equipment, not the service) | 11532 Willow Park Dr., Suite 500, Gretna, NE 68028 | 2007-02-21 |
| 1225173669 | Andria Nicole Louis | Optometrist | 11532 Willow Park Drive, Suite 500, Gretna, NE 68028 | 2007-02-21 |
| Find all providers in zip 68028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899936 | Deluxe Medical Corporation | Family Medicine | 3640 Lake Aspen Dr W, Gretna, LA 70056-8303 | 2019-03-12 |
| 1952747602 | Jefferson Medical Clinic LLC | Family Medicine | 435 Lapalco Blvd Ste 1, Gretna, LA 70056-7375 | 2013-05-21 |
| 1306080361 | Ngoc-thuy Thi Bui | Family Medicine | 435 Lapalco Blvd, Suite 1, Gretna, LA 70056-7375 | 2009-04-21 |
| 1336324573 | G A Romaguera Md LLC | Family Medicine | 316 Lafayette St., Gretna, LA 70053 | 2008-01-07 |
| 1821122342 | John Craig Cornett | Family Medicine | 1125 Newton St, Gretna, LA 70053-6339 | 2007-03-15 |
| 1104964758 | Janice S. Glenn, M.d. Ampc | Family Medicine | 2600 Belle Chasse Highway Ste 201a, Gretna, LA 70056-7156 | 2007-02-02 |
| 1831296102 | The Wellness Place PC | Family Medicine | 818 Village Sq., Gretna, NE 68028-7914 | 2006-09-20 |
| 1770691826 | Gerard A Romaguera | Family Medicine | 316 Lafayette St, Gretna, LA 70053 | 2006-08-28 |
| 1518916683 | Rafael A Cortes-moran | Family Medicine | 441 Wall Blvd., Gretna, LA 70056-7723 | 2006-05-08 |
| 1346207750 | Rufus Randolph Duffer | Family Medicine | 107 Henry St, Gretna, VA 24557-4177 | 2006-04-28 |
| Find all providers in GRETNA | ||||
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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.