Jacob L Runyan (NPI# 1881022960, PAC ID# 2163650078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1881022960 |
| PAC ID by PECOS | 2163650078 |
| Professional Enrollment ID | I20140122000235 |
| Full Name | Jacob L Runyan |
| Organization Legal Name | TWIN RIVERS URGENT CARE LLC |
| Address |
3203 Osborne Dr W Suite 101 Hastings NE 68901-9122 |
| Phone Number | 4028341005 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406860543 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280125 | FAITH REGIONAL HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 | 4028341005 | TWIN RIVERS URGENT CARE LLC |
| 305 N 37th St, Norfolk, NE 68701-3275 | 4023704100 | SUNNY MEADOW MEDICAL CLINIC PC |
| 220 W Leota St, North Platte, NE 69101-6293 | 3085342900 | TWIN RIVERS URGENT CARE LLC |
| Organization Legal Name | TWIN RIVERS URGENT CARE LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tra Thithanh Bui | Physician Assistant | Twin Rivers Urgent Care LLC | 220 W Leota St, North Platte, NE 69101-6293 |
| Elizabeth A Schroeder | Nurse Practitioner | Twin Rivers Urgent Care LLC | 720 N Webb Rd, Grand Island, NE 68803-3310 |
| Lisa M Manchester | Nurse Practitioner | Twin Rivers Urgent Care LLC | 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 |
| David W Farrar | Physician Assistant | Twin Rivers Urgent Care LLC | 510 Bradford St, Seward, NE 68434-1708 |
| Nichole Christine Kinnamon | Nurse Practitioner | Twin Rivers Urgent Care LLC | 510 Bradford St, Seward, NE 68434-1708 |
| Julie R Hatch | Nurse Practitioner | Twin Rivers Urgent Care LLC | 720 N Webb Rd, Grand Island, NE 68803-3310 |
| Tim Laurence Kynion | Physician Assistant | Twin Rivers Urgent Care LLC | 220 W Leota St, North Platte, NE 69101-6293 |
| Amanda K Kramer | Physician Assistant | Twin Rivers Urgent Care LLC | 220 W Leota St, North Platte, NE 69101-6293 |
| Abby E Hansen | Physician Assistant | Twin Rivers Urgent Care LLC | 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 |
| Bryan D Myers | Physician Assistant | Twin Rivers Urgent Care LLC | 220 W Leota St, North Platte, NE 69101-6293 |
| Street Address |
3203 OSBORNE DR W SUITE 101 |
| City | HASTINGS |
| State | NE |
| Zip | 68901-9122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Manchester | Nurse Practitioner | Twin Rivers Urgent Care LLC | 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 |
| Abby E Hansen | Physician Assistant | Twin Rivers Urgent Care LLC | 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 |
| Bryan M Mizner | Physician Assistant | Twin Rivers Urgent Care LLC | 3203 Osborne Dr W, Suite 101, Hastings, NE 68901-9122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Welch | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| William D Terrell | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| Gary L Wyeno | Qualified Audiologist | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Mark L Keller | Otolaryngology | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Richard D French | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| George M Adam | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Todd A Pankratz | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Lindsay N Van Pelt | Nurse Practitioner | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Paul C Wibbels | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| David R Little | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Find all physicians in zip 68901 | |||
| City | HASTINGS |
| Zip Code | 68901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HASTINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob L Runyan.
| 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.