LONE TREE MEDICAL ASSOCIATES, P.C. (NPI# 1427158690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427158690 |
| Entity Type | Organization |
| Organization Name | LONE TREE MEDICAL ASSOCIATES, P.C. |
| Practice Address |
901 Broadway St Fullerton NE 68638-3151 |
| Mailing Address |
2510 18th Ave Central City NE 68826-2123 |
| Practice Telephone | 3085362458 |
| Practice Fax Number | 3085362459 |
| Mailing Telephone | 3089463845 |
| Mailing Fax Number | 3089462357 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | STEVEN SCOT MAHNKE (CORPORATE OFFICER) |
| Authorized Official Telephone | 3089463845 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LONE TREE MEDICAL ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
NE | Ambulatory Health Care Facilities | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CD8193 | 01 | |
| NE | CMS CLIA IDENTIFICATION # | 28D0886128 | 01 |
| NE | 10025126000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700991510 | Lone Tree Medical Associates, P.C. | Clinic/Center | 2510 18th Ave, Central City, NE 68826-2123 | 2006-08-20 |
| Street Address |
901 BROADWAY ST |
| City | FULLERTON |
| State | NE |
| Zip Code | 68638-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124559901 | Merrick Medical Center | Family Medicine | 901 Broadway St, Fullerton, NE 68638-3151 | 2017-03-23 |
| 1366854358 | Litzenberg Memorial Merrick County | Family Medicine | 901 Broadway St, Fullerton, NE 68638-3151 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891947503 | City of Fullerton | Ambulance | 201 Fullerton, Fullerton, NE 68638 | 2008-10-14 |
| 1790142412 | Andrew Brugman I | Chiropractor | 330 N Broadway St, Fullerton, NE 68638-0088 | 2016-01-26 |
| 1407151269 | Fullerton Family Chiropractic PC | Chiropractor | 209 Broadway Street, Fullerton Family Chiropractic PC, Fullerton, NE 68638-0852 | 2011-01-25 |
| 1225089527 | Ggnsc Fullerton LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2006-05-12 |
| 1548893431 | Sophie Hellbusch | Occupational Therapy Assistant | 202 N Esther St, Fullerton, NE 68638-3029 | 2020-02-19 |
| 1720630635 | Arbor Care Centers - Fullerton LLC | Assisted Living Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2019-07-10 |
| 1861954935 | Fullerton Operations LLC | Skilled Nursing Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2019-04-05 |
| 1851848881 | Fullerton Care and Rehabilitation Center, LLC | Assisted Living Facility | 202 N Esther St, Fullerton, NE 68638-3029 | 2016-09-07 |
| 1609278795 | Aimee Marie Adams | Speech-Language Pathologist | 202 N Esther St, Fullerton, NE 68638-3029 | 2014-09-19 |
| 1780962688 | Stacy Jo Kramer | Physical Therapist | 202 N Esther St, Fullerton, NE 68638-3029 | 2011-07-26 |
| Find all providers in zip 68638 | ||||
| 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 |
|---|---|---|---|---|
| 1336672393 | John Sanguedolce | Family Medicine | 2849 Tarragon Ct, Fullerton, CA 92835-4308 | 2017-04-06 |
| 1760804314 | Nivie Sanghera-jhawar | Family Medicine | 1992 Berkshire Dr, Fullerton, CA 92833-4818 | 2014-01-16 |
| 1467892745 | Mark M. Song, M.d., Inc. | Family Medicine | 1401 S Brookhurst Rd Ste 115, Fullerton, CA 92833-4492 | 2013-07-01 |
| 1679709786 | Joseph Stanley Lawton | Family Medicine | 601 W. Fern Dr., Fullerton, CA 92832-1132 | 2009-06-03 |
| 1639334972 | John Fraser | Family Medicine | 1701 Raintree Rd, Fullerton, CA 92835-4042 | 2008-07-25 |
| 1104955194 | Wonbae Choe | Family Medicine | 720 N Harbor Blvd, Fullerton, CA 92832-1505 | 2007-03-05 |
| 1841341781 | Helmut Machowsky | Family Medicine | 2667 Camino Del Sol, Fullerton, CA 92833-4808 | 2007-01-16 |
| 1942378666 | Richard Donald Boucher | Family Medicine | 800 N. State College Blvd., Fullerton, CA 92834-6830 | 2006-12-01 |
| 1871602839 | Cynthia Yanina Mejia | Family Medicine | 1950 Sunny Crest Dr Ste 2600, Fullerton, CA 92835-3644 | 2006-08-30 |
| 1790791010 | Bryan-huy Ngoc Phi | Family Medicine | 2251 N Harbor Blvd, Fullerton, CA 92835 | 2006-07-31 |
| Find all providers in FULLERTON | ||||
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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.