U MED SPA & WEIGHT MANAGEMENT (NPI# 1467858415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467858415 |
| Entity Type | Organization |
| Organization Name | U MED SPA & WEIGHT MANAGEMENT |
| Practice Address |
5609 1st Ave Suite B Kearney NE 68847-2436 |
| Practice Telephone | 3082242131 |
| Practice Fax Number | 3082242134 |
| Mailing Telephone | 3082242131 |
| Mailing Fax Number | 3082242134 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | BRADLEY DARYL RODGERS (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3082242131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
16658 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NPI | 1154405926 | 01 |
| Street Address |
5609 1ST AVE SUITE B |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1255773693 | Nebraska Vein Care P.C. | Clinic/Center | 1414 North 13th St, Norfolk, NE 68701-2669 | 2013-07-26 |
| 1407115660 | Hillcrest Home Care Inc. | Clinic/Center | 1902 Harlan Dr, Suite A, Bellevue, NE 68005-6609 | 2012-05-09 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1407012123 | Concentra Health Services, Inc. | Clinic/Center | 9602 M Street, Omaha, NE 68127 | 2008-08-01 |
| 1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
| 1508026147 | Brown Chiropractic Offices, P.C. | Clinic/Center | 455 M St, Gering, NE 69341-3124 | 2008-06-16 |
| 1649455643 | Joshua Philip Havens | Clinic/Center | 804 S. 52nd, Omaha, NE 68106 | 2008-01-08 |
| 1447315825 | Wellness Partners, LLC | Clinic/Center | 106 W. 3rd St., Mccook, NE 69001 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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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.