NORTH PLATTE REGIONAL UROLOGY, LLC (NPI# 1497892673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497892673 |
| Entity Type | Organization |
| Organization Name | NORTH PLATTE REGIONAL UROLOGY, LLC |
| Practice Address |
611 W Francis St North Platte NE 69101-0620 |
| Mailing Address |
4455 Stonehaven Dr Colorado Springs CO 80906-4897 |
| Practice Telephone | 7193932137 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL GALLENTINE (UROLOGIST SOLE PROPRIETOR OWNER) |
| Authorized Official Telephone | 7193932137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 20757 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL NPI | 1356311583 | 01 |
| Street Address |
611 W FRANCIS ST |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-0620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750226 | Pathology Services, P.C. | Clinical Medical Laboratory | 611 W Francis St, North Platte, NE 69101-0614 | 2005-09-19 |
| 1669030094 | Jaleen Marie Greenwood | Physician Assistant | 611 W Francis St, North Platte, NE 69101-0620 | 2019-05-31 |
| 1457915613 | Bethany J Adams | Nurse Practitioner | 611 W Francis St, North Platte, NE 69101-0620 | 2019-04-23 |
| 1215472253 | Joni Michelle Sandoval | Nurse Practitioner | 611 W Francis St, Suite 100, North Platte, NE 69101-0620 | 2016-12-29 |
| 1386187375 | North Platte Nebraska Physician Group LLC | Internal Medicine | 611 W Francis St, Ste 270, North Platte, NE 69101-0614 | 2016-11-23 |
| 1588112528 | Leslie Ann Pecharich | Physician Assistant | 611 W Francis St, Suite 200, North Platte, NE 69101-0620 | 2016-09-20 |
| 1194952747 | Carmen Dee Richman | Physician Assistant | 611 W Francis St, North Platte, NE 69101-0614 | 2009-06-22 |
| 1437248994 | Eduardo Augusto Fonseca Freitas | Internal Medicine | 611 W Francis St, Suite 200, North Platte, NE 69101-0620 | 2006-10-12 |
| 1538187893 | Jason Michael Citta | Family Medicine | 611 W Francis St, Suite 100, North Platte, NE 69101-0620 | 2006-07-17 |
| 1386669752 | Julie Ann Johng | Nurse Practitioner | 611 W Francis St, Suite 270, North Platte, NE 69101-0620 | 2006-07-13 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1841350105 | Marlin Dwayne Collier | Urology | 601 W Leota St, North Platte, NE 69101-6525 | 2006-12-09 |
| 1356311583 | Michael Lee Gallentine | Urology | 611 W Francis St, Suite 200, North Platte, NE 69101-0614 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524640 | Jennifer Dwyer | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2014-06-23 |
| 1326301995 | Harry Jeoffrey Deeths | Urology | 402 N 97th Ct, Omaha, NE 68114-2395 | 2012-06-19 |
| 1780944652 | Hanhan Li | Urology | 4101 Woolworth Ave Ste 112, Omaha, NE 68105-1850 | 2012-05-24 |
| 1710196746 | Natvarlal P Patel | Urology | 109n 29th St 2, Norfolk, NE 68701-3261 | 2007-05-22 |
| 1720162993 | Western Nebraska Urology LLC | Urology | 2 West 42nd Street, Suite 3600, Scottsbluff, NE 69361 | 2006-10-24 |
| 1093738361 | Peter Elbridge Howe | Urology | 5500 Pine Lake Road, Lincoln, NE 68516 | 2006-07-26 |
| 1619904927 | Laroy E Williams | Urology | 123 W 31st St, Kearney, NE 68847-2916 | 2006-06-26 |
| 1467424762 | Mark Harned Davis | Urology | 2115 N. Kansas Ave, Suite 201, Hastings, NE 68901 | 2006-02-02 |
| 1124007042 | Urology Health Center PC | Urology | 2735 N Clarkson St, Fremont, NE 68025 | 2006-01-10 |
| 1588666275 | Gregory L. Alberts | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-11 |
| 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.