DR. NICK J HARTL (NPI# 1962416115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962416115 |
Entity Type | Individual |
Full Name | DR. NICK J HARTL |
Credential | M.D. |
Practice Address |
412 W 42nd St Kearney NE 68845-2401 |
Practice Telephone | 3088652303 |
Practice Fax Number | 3088652304 |
Mailing Telephone | 3088652303 |
Mailing Fax Number | 3088652304 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
23781 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | PENDING | 05 |
Street Address |
412 W 42ND ST |
City | KEARNEY |
State | NE |
Zip Code | 68845-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356324271 | George Bascom | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2005-11-23 |
1184289803 | Heartland Hematology & Oncology PC | Pharmacy | 412 W 42nd St, Kearney, NE 68845-2401 | 2019-05-08 |
1790224996 | Sarah Gierhan | Nurse Practitioner | 412 W 42nd St, Kearney, NE 68845-2401 | 2017-02-21 |
1740502996 | Allison Margaret Casper | Physician Assistant | 412 W 42nd St, Kearney, NE 68845-2401 | 2010-02-15 |
1609895713 | Heartland Hematology & Oncology P.C. | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2006-07-19 |
1235100660 | Cynthia M Lewis | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
Find all providers in zip 68845 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356324271 | George Bascom | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2005-11-23 |
1609895713 | Heartland Hematology & Oncology P.C. | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2006-07-19 |
1235100660 | Cynthia M Lewis | Internal Medicine | 412 W 42nd St, Kearney, NE 68845-2401 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407379852 | Saboor Ejaz Randhawa | Internal Medicine | 986840 Nebraska Medical Center, Unmc Dept of Ocology/hematology, Omaha, NE 68198-6840 | 2017-07-18 |
1871517433 | Mehmet Sitki Copur | Internal Medicine | 2116 West Faidley Avenue Suite 200, Grand Island, NE 68803-4671 | 2006-07-27 |
1659327641 | Midwest Hematology Oncology Specialist, P.C. | Internal Medicine | 7911 W Center Rd, Omaha, NE 68124-3104 | 2006-05-25 |
1750353447 | Stacey K Knox | Internal Medicine | 201 S 68th Street Pl Ste 200, Lincoln, NE 68510-2496 | 2006-02-06 |
1184604993 | Laxmi Narayana Raju Buddharaju | Internal Medicine | 505 S. 48th St, Omaha, NE 68198-0001 | 2006-01-18 |
1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
1326048927 | Muhammad S Haroon | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2303 | 2005-07-26 |
1164863841 | Kartik Anand | Internal Medicine | 601 W Leota St, North Platte, NE 69101-6525 | 2013-07-10 |
1710250899 | Krishna Gundabolu | Internal Medicine | 987680 Nebraska Medical Ctr, Omaha, NE 68198-7680 | 2012-02-20 |
1144522780 | Southeast Nebraska Hematology & Oncology Consultants, PC | Internal Medicine | 3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497 | 2010-12-02 |
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.