Emily Rachel Kean-puccioni (NPI# 1881697944, PAC ID# 1759341522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1881697944 |
| PAC ID by PECOS | 1759341522 |
| Professional Enrollment ID | I20041015000347 |
| Full Name | Emily Rachel Kean-puccioni |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Address |
2735 N Clarkson St Fremont NE 68025-7717 |
| Phone Number | 4022058664 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | UROLOGY |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8820980634 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| 160047 | METHODIST JENNIE EDMUNDSON |
| Address | Phone | Organization |
|---|---|---|
| 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 | 7123250014 | ADULT AND PEDIATRIC UROLOGY PC |
| 2735 N Clarkson St, Fremont, NE 68025-7717 | 4022058664 | ADULT AND PEDIATRIC UROLOGY PC |
| 10707 Pacific St, Omaha, NE 68114-4762 | 4023977989 | ADULT AND PEDIATRIC UROLOGY PC |
| 8303 Dodge St, Omaha, NE 68114-4108 | 4023544000 | ADULT AND PEDIATRIC UROLOGY PC |
| Organization Legal Name | ADULT AND PEDIATRIC UROLOGY PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Jaskierny Jr. | Pathology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 100, Omaha, NE 68114-4762 |
| Stefanie L Bolte | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Andrew R Arther | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Charles Brent Wakefield | Urology | Adult and Pediatric Urology PC | 104 W 17th St, Adult and Pediatric Urology and Urogyne, Schuyler, NE 68661-1304 |
| Donalee I Kennedy | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Michaela M Duggan | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Rebecca J Mccrery | Urology | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Marnie Elizabeth Jean Thrasher | Physician Assistant | Adult and Pediatric Urology PC | 8303 Dodge St, Omaha, NE 68114-4108 |
| Andrew Francis Trainer | Urology | Adult and Pediatric Urology PC | 3434 W Broadway, 102 Adult and Pediatric Urology and Urogyne, Council Bluffs, IA 51501-3291 |
| Meghann M Reller | Nurse Practitioner | Adult and Pediatric Urology PC | 10707 Pacific St, Suite 101, Omaha, NE 68114-4762 |
| Street Address |
2735 N CLARKSON ST |
| City | FREMONT |
| State | NE |
| Zip | 68025-7717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ansar Ullah Khan | Urology | 2735 N Clarkson St, Suite 2, Fremont, NE 68025-7717 | |
| Manjula Tella | Neurology | 2735 N Clarkson St, Fremont, NE 68025-7717 | |
| Tewodros Fesseha | Urology | Urology Health Center PC | 2735 N Clarkson St, Fremont, NE 68025-7717 |
| Gerald Clyde Felt | Urology | Urology Health Center PC | 2735 N Clarkson St, Fremont, NE 68025-7717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Himmelberg | Diagnostic Radiology | Advanced Radiology of Grand Island PC | 420 E 23rd St, Fremont, NE 68025-2303 |
| Michael Andrew Thompson | Orthopedic Surgery | Orthowest PC | 450 E 23rd St, Fremont Medical Ctr, Fremont, NE 68025-2303 |
| Mary Louise Schlautman | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Specialists PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Adrienne D Dickmeyer | Physician Assistant | Orthowest PC | 450 E 23rd St, Fremont Medical Ctr, Fremont, NE 68025-2303 |
| Erik A Pedersen | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Nicole L Wagner Dix | Obstetrics/gynecology | Fremont Health Clinic | 450 E 23rd St, Dunklau Gardens, Fremont, NE 68025-2303 |
| Andrew J Frager | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Carter N Cook | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Mohammed K Zahra | Radiation Oncology | Hematology and Oncology Consultants PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Patricia A Helke | Diagnostic Radiology | General Radiology PC | 450 E 23rd St, Fremont, NE 68025-2303 |
| Find all physicians in zip 68025 | |||
| City | FREMONT |
| Zip Code | 68025 |
| Specialty | UROLOGY |
| City + Specialty | FREMONT + UROLOGY |
Please comment or provide details below to improve the information on Emily Rachel Kean-puccioni.
| 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.