WAHOO MEDICAL P.C. (NPI# 1700115987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700115987 |
| Entity Type | Organization |
| Organization Name | WAHOO MEDICAL P.C. |
| Practice Address |
567 W 15th St Wahoo NE 68066-1280 |
| Mailing Address |
567 W 15th St Po Box 206 Wahoo NE 68066-1280 |
| Practice Telephone | 4024434600 |
| Practice Fax Number | 4024434660 |
| Mailing Telephone | 4024434600 |
| Mailing Fax Number | 4024434660 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Authorized Official Name | MRS. AMY ELIZABETH HANNAN (PRESIDENT) |
| Authorized Official Telephone | 4024434600 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI # | 1336347616 | 01 |
| Street Address |
567 W 15TH ST |
| City | WAHOO |
| State | NE |
| Zip Code | 68066-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676342 | Freidel Medical Associates | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2007-06-14 |
| 1083049746 | Wright Turn Lane PC | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2013-09-12 |
| 1427315654 | Wahoo Family & Sports Medicine, P.C. | Family Medicine | 567 W 15th St, Wahoo, NE 68066-1280 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1235205238 | Larry Dean Swanson | Dentist | 427 North Broadway Street, Wahoo, NE 68066 | 2006-11-28 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| Find all providers in zip 68066 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337635 | Saunders Medical Center | Clinic/Center | 1760 County Road J, Wahoo, NE 68066-4152 | 2015-06-03 |
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| 1063072551 | Revelation Health & Wellness LLC | Clinic/Center | 249 Olson Dr Ste 103, Papillion, NE 68046-2974 | 2019-06-17 |
| 1184143943 | Community Medical Center, Inc | Clinic/Center | 3307 Barada Street, Falls City, NE 68355 | 2017-09-13 |
| 1508316720 | Regeneration P.C. | Clinic/Center | 6030 Village Dr Ste 100, Lincoln, NE 68516-4773 | 2016-10-12 |
| 1861941999 | Brad Rodgers Md Family Practice & Sports Medicine | Clinic/Center | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2016-09-30 |
| 1053760504 | Central Nebraska Medical Clinic Arcadia | Clinic/Center | 110 West Bridge Street, Arcadia, NE 68815 | 2016-06-06 |
| 1235539750 | Dfas-jfll/in | Clinic/Center | 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123-6110 | 2014-09-03 |
| 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.