LORETTA L. BACA


Address: 302 S Jeffers St, North Platte, NE 69101-5349
Phone: 3085346687

LORETTA L. BACA (NPI# 1568466811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568466811
Entity Type Individual
Full Name LORETTA L. BACA
Credential M.D.
Practice Address 302 S Jeffers St
North Platte
NE 69101-5349
Practice Telephone 3085346687
Practice Fax Number 3085341874
Mailing Telephone 3085346687
Mailing Fax Number 3085341874
Enumeration Date 2005-06-01
Last Update Date 2009-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
19678 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 47-0822695-13 05

Office Location

Street Address 302 S JEFFERS ST
City NORTH PLATTE
State NE
Zip Code 69101-5349

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871597773 Misty Richards Nurse Practitioner 302 S Jeffers St, North Platte, NE 69101-5349 2005-06-08

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1992165898 Laren Alden Roper Jr. Occupational Therapist 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 2016-03-04
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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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972602126 The Center for Health LLC Internal Medicine 302 S.jeffers St., North Platte, NE 69101 2006-09-22
1548209174 Kristin S Lake Internal Medicine 500 W Leota St, Suite 100, North Platte, NE 69101-6576 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427491778 Jennifer Medlin Internal Medicine 8604 Giles Rd, La Vista, NE 68128-6051 2013-04-16
1417228453 Abhijeet Shrikrishna Danve Internal Medicine 11322 Franklin Plz Apt 915, Omaha, NE 68154-4816 2012-01-23
1710276415 Melanie Kay Rohr Internal Medicine 42 Nd and Emile St, 983025 Unmc, Omaha, NE 68198-0001 2011-04-04
1871793158 Kearney Arthritis Institute PC Internal Medicine 22 W 56th St Ste 107, Kearney, NE 68847-0508 2007-07-24
1174737597 Rheumatology & Osteoporosis Services, P.C. Internal Medicine 1520 S 70th St Ste 200, Lincoln, NE 68506-1566 2007-05-09
1093823437 Jennifer Rae Elliott Internal Medicine 1520 South 70th Street, Suite 200, Lincoln, NE 68506-1566 2006-08-27
1962517060 Deborah Doud Internal Medicine 2727 S 144th St Ste 240, Omaha, NE 68144-5201 2006-08-20
1760433312 Vernon Ford Garwood Internal Medicine 1520 S 70th St, Suite 200, Lincoln, NE 68506-1566 2006-05-16
1386614907 Alan Jay Jacobs Internal Medicine 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 2006-01-25
1962899088 Kelsey A Holkesvik Internal Medicine 2727 S 144th St Ste 240, Omaha, NE 68144-5201 2015-04-16
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Competitor

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City NORTH PLATTE
Zip Code 69101

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Dataset Information

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.

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