KRISTOFER A VANDER ZWAAG (NPI# 1467406322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406322 |
| Entity Type | Individual |
| Full Name | KRISTOFER A VANDER ZWAAG |
| Credential | MD |
| Practice Address |
715 N Saint Joseph Ave Hastings NE 68901-4451 |
| Practice Telephone | 4024630404 |
| Practice Fax Number | 4024615088 |
| Mailing Telephone | 4024615191 |
| Mailing Fax Number | 4024615088 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
22815 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DEA | BV8727313 | 01 |
| NE | BLUE CROSS BLUE SHIELD | 00059 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 106553 | 01 |
| NE | TRICARE/TRIWEST | 68901B014 | 01 |
| RAILROAD MEDICARE | P00410877 | 01 | |
| NE | MIDLANDS CHOICE | 251187 | 01 |
| Street Address |
715 N SAINT JOSEPH AVE |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448177 | Daniel Joseph Herold | Radiology | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2005-06-27 |
| 1205442258 | The Mary Lanning Memorial Hospital Association | Clinical Medical Laboratory | 715 N Saint Joseph Ave, Hastings, NE 68901-4479 | 2020-09-16 |
| 1902421993 | Haley N Melvin | Counselor | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2020-06-15 |
| 1427684489 | Kyle James Jennings | Nurse Anesthetist, Certified Registered | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2020-03-20 |
| 1689216905 | Deann Carpenter | Nurse Practitioner | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2019-10-09 |
| 1619518917 | Rebecca J Farrall | Nurse Practitioner | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2019-10-08 |
| 1386205516 | Melissa Berghuis | Nurse Anesthetist, Certified Registered | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2019-06-27 |
| 1942868005 | Kelli Anne Poplau | Physician Assistant | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2019-06-04 |
| 1851954283 | Anthony Robert Berghuis | Nurse Anesthetist, Certified Registered | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2019-04-22 |
| 1215423561 | Scott Brauer | Pharmacist | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368494 | Heartland Imaging Center of Hastings LLC | Radiology | 3203 Osborne Dr W Ste 102a, Hastings, NE 68901-9140 | 2020-05-22 |
| 1235336074 | William Lee Songer | Radiology | 5613 Chief Noonday Rd, Hastings, MI 49058-8248 | 2007-06-27 |
| 1336256064 | The Mary Lanning Memorial Hospital Association | Radiology | 2115 N Kansas Ave Ste 106, Hastings, NE 68901-2625 | 2006-08-25 |
| 1366448177 | Daniel Joseph Herold | Radiology | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2005-06-27 |
| 1659743227 | Lawrence Mckinnis | Radiology | 1722 W 9th St, Hastings, NE 68901-3608 | 2015-10-22 |
| 1710079462 | Hastings Radiology Associates PC | Radiology | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2006-09-29 |
| 1922100965 | Eric E. Ward | Radiology | 1009 W Green St, Hastings, MI 49058-1710 | 2006-09-01 |
| 1538184312 | Dennis Alan Bruce | Radiology | 1009 W Green St, Hastings, MI 49058-1710 | 2006-07-13 |
| 1811939556 | George John Benisek | Radiology | 1005 W Green St, Hastings, MI 49058-1712 | 2006-06-10 |
| 1770540270 | Alan Stankiewicz | Radiology | 290 Haida Ave, Hastings, PA 16646-5610 | 2006-04-27 |
| Find all providers in HASTINGS | ||||
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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.