Jodi Ellen Spady (NPI# 1053479089, PAC ID# 1052345881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053479089 |
| PAC ID by PECOS | 1052345881 |
| Professional Enrollment ID | I20050921000853 |
| Full Name | Jodi Ellen Spady |
| Organization Legal Name | CHASE COUNTY COMMUNITY HOSPITAL |
| Address |
600 W 12th St Imperial NE 69033-3131 |
| Phone Number | 3088827111 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567436736 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281351 | CHASE COUNTY COMMUNITY HOSPITAL |
| 280065 | GREAT PLAINS HEALTH |
| 281363 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 W 12th St, Imperial, NE 69033-3131 | 3088827111 | CHASE COUNTY COMMUNITY HOSPITAL |
| Organization Legal Name | CHASE COUNTY COMMUNITY HOSPITAL |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Havel | Physician Assistant | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Brandy L Hanes | Nurse Practitioner | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Elizabeth L Hatz | Family Medicine | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| David G Younger | Family Medicine | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Lawrence G Davis | General Surgery | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Street Address |
600 W 12TH ST |
| City | IMPERIAL |
| State | NE |
| Zip | 69033-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Havel | Physician Assistant | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Brandy L Hanes | Nurse Practitioner | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Elizabeth L Hatz | Family Medicine | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Richard A Schmidt | Urology | 600 W 12th St, Chase County Hospital, Imperial, NE 69033-3130 | |
| David G Younger | Family Medicine | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Lawrence G Davis | General Surgery | Chase County Community Hospital | 600 W 12th St, Imperial, NE 69033-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel D Mosel | Dermatology | Greater Nebraska Dermatology Clinic, P.C. | 600 W 12 St, Imperial, NE 69033-3130 |
| Daniel J E Koch | Chiropractic | 441 Broadway, Imperial, NE 69033-3162 |
| City | IMPERIAL |
| Zip Code | 69033 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | IMPERIAL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jodi Ellen Spady.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.