MELVIN ALBERT CHURCHILL JR. (NPI# 1710957311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710957311 |
| Entity Type | Individual |
| Full Name | MELVIN ALBERT CHURCHILL JR. |
| Credential | M.D. |
| Practice Address |
3901 Pine Lake Rd Suite 120 Lincoln NE 68516-5497 |
| Practice Telephone | 4024201212 |
| Practice Fax Number | 4023280961 |
| Mailing Telephone | 4024201212 |
| Mailing Fax Number | 4023280961 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
12536 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE PIN/GRP | 110047260/CO4240 | 01 | |
| NE | 47052796712 | 05 | |
| BLUE SHIELD PIN/GROUP | 00323/01942 | 01 |
| Street Address |
3901 PINE LAKE RD SUITE 120 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386614907 | Alan Jay Jacobs | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 1821532656 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3901 Pine Lake Rd, Suite 335, Lincoln, NE 68516-5497 | 2016-12-13 |
| 1306292107 | Labcorp Nebraska Inc | Clinical Medical Laboratory | 3901 Pine Lake Rd, Suite 335, Lincoln, NE 68516-5497 | 2016-05-11 |
| 1134507445 | Robyn Flammang | Hearing Instrument Specialist | 3901 Pine Lake Rd, #217, Lincoln, NE 68516-5497 | 2015-05-07 |
| 1235401639 | Nichole N Regan | Nurse Practitioner | 3901 Pine Lake Rd, Suite 211, Lincoln, NE 68516-5497 | 2012-01-31 |
| 1922392604 | Heather Ann Sorensen | Nurse Practitioner | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2011-05-31 |
| 1144522780 | Southeast Nebraska Hematology & Oncology Consultants, PC | Internal Medicine | 3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497 | 2010-12-02 |
| 1174834063 | Travis L Barkmeier | Nurse Practitioner | 3901 Pine Lake Rd, Suite 211, Lincoln, NE 68516-5497 | 2010-06-25 |
| 1841529476 | Plattsmouth Quick Care | Family Medicine | 3901 Pine Lake Rd, Suite 211, Lincoln, NE 68516-5497 | 2009-12-10 |
| 1144558669 | Donna Faye Jennings | Physician Assistant | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1649227646 | Amy Susan Garwood | Internal Medicine | 1520 S 70th St, Suite 200, Lincoln, NE 68506-1566 | 2006-05-27 |
| 1710946462 | Pamela Deluca | Internal Medicine | 233 Concord Rd, Lincoln, MA 01773-5112 | 2006-03-21 |
| 1164492641 | Arthritis Center of Nebraska | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 1841260478 | Rick Charles Chatwell | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 1437129905 | Robert Michael Valente | Internal Medicine | 3901 Pine Lake Rd, Suite 120, Lincoln, NE 68516-5497 | 2006-01-25 |
| 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 |
| 1972602126 | The Center for Health LLC | Internal Medicine | 302 S.jeffers St., North Platte, NE 69101 | 2006-09-22 |
| 1962517060 | Deborah Doud | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2006-08-20 |
| 1568466811 | Loretta L. Baca | Internal Medicine | 302 S Jeffers St, North Platte, NE 69101-5349 | 2005-06-01 |
| 1962899088 | Kelsey A Holkesvik | Internal Medicine | 2727 S 144th St Ste 240, Omaha, NE 68144-5201 | 2015-04-16 |
| 1720485865 | Westroads Rheumatology Associates PC | Internal Medicine | 10170 Nicholas St, Omaha, NE 68114-2174 | 2014-12-03 |
| 1407087489 | Nebraska Orthopaedic Hospital LLC | Internal Medicine | 2727 S 144th St, Omaha, NE 68144-5225 | 2009-08-07 |
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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.