Wayne E Penka (NPI# 1417093279, PAC ID# 3577694777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1417093279 |
| PAC ID by PECOS | 3577694777 |
| Professional Enrollment ID | I20100702000397 |
| Full Name | Wayne E Penka |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Address |
810 N 22nd St Blair NE 68008-1128 |
| Phone Number | 4024262182 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1951210418 |
| Number of Group Practice Members | 568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280060 | CHI HEALTH BERGAN MERCY |
| 160028 | CHI HEALTH MERCY COUNCIL BLUFFS |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 810 N 22nd St, Blair, NE 68008-1128 | 4024262182 | ALEGENT CREIGHTON CLINIC |
| 4508 38th St, Suite 157, Columbus, NE 68601-1668 | 4025628445 | ALEGENT CREIGHTON CLINIC |
| 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 7123285490 | ALEGENT CREIGHTON CLINIC |
| 211 W 33rd St, Kearney, NE 68845-3484 | 3088652141 | ALEGENT CREIGHTON CLINIC |
| 8248 S 96th St, La Vista, NE 68128-3126 | 4027179500 | ALEGENT CREIGHTON CLINIC |
| 1301 Grundman Blvd, Nebraska City, NE 68410-3319 | 8555244001 | ALEGENT CREIGHTON CLINIC |
| 10109 Maple St, Omaha, NE 68134-5554 | 4025723500 | ALEGENT CREIGHTON CLINIC |
| 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 | 8555244001 | ALEGENT CREIGHTON CLINIC |
| 16909 Lakeside Hills Ct, Omaha, NE 68130-4661 | ALEGENT CREIGHTON CLINIC | |
| 5002 Underwood Ave, Omaha, NE 68132-2236 | 4023986255 | ALEGENT CREIGHTON CLINIC |
| 5005 S 153rd St, Suite 100, Omaha, NE 68137-5069 | 4027179100 | ALEGENT CREIGHTON CLINIC |
| 6751 N 72nd St, Suite 201, Omaha, NE 68122-1746 | 4027172211 | ALEGENT CREIGHTON CLINIC |
| 6901 N 72nd St, Omaha, NE 68122-1709 | ALEGENT CREIGHTON CLINIC | |
| 7500 Mercy Rd, Omaha, NE 68124-2319 | 4023985580 | ALEGENT CREIGHTON CLINIC |
| 7500 Mercy Rd, Suite 1355, Omaha, NE 68124-2319 | 4024494847 | ALEGENT CREIGHTON CLINIC |
| 7710 Mercy Rd, Omaha, NE 68124-2323 | 4027170820 | ALEGENT CREIGHTON CLINIC |
| 8141 W Ctr, Omaha, NE 68124-3273 | 4027173000 | ALEGENT CREIGHTON CLINIC |
| 8613 N 30th St, Omaha, NE 68112-1800 | 4024539900 | ALEGENT CREIGHTON CLINIC |
| 11111 S 84th St, Papillion, NE 68046-4157 | 4028982520 | ALEGENT CREIGHTON CLINIC |
| 104 W 17th St, Schuyler, NE 68661-1304 | 4027170717 | ALEGENT CREIGHTON CLINIC |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Physicians | 618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sangeeta Mutnuri | Nephrology | Alegent Creighton Clinic | 1213 Garfield, Alegent Creighton Clinic Iowa Outreach, Harlan, IA 51537-2057 |
| Jasper Nathaniel Kaufman | Nurse Practitioner | Alegent Creighton Clinic | 8141 W Ctr, Omaha, NE 68124-3273 |
| Rajani Rangray | Gastroenterology | Alegent Creighton Clinic | 7710 Mercy Rd, Suite 2000, Omaha, NE 68124-2323 |
| Eduardo Herrera Lirio | Obstetrics/gynecology | Alegent Creighton Clinic | 11111 S 84th St, Papillion, NE 68046-4157 |
| Kathleen Sekpe | Obstetrics/gynecology | Alegent Creighton Clinic | 5005 S 153rd St, Suite 100, Omaha, NE 68137-5069 |
| Jason Krupp | Internal Medicine | Alegent Creighton Clinic | 13315 W Ctr Rd, Omaha, NE 68137-3449 |
| Elizabeth L Hinzmann | Nurse Practitioner | Alegent Creighton Clinic | 700 S Hwy St, Alegent Creighton Clinic Oakland, Oakland, IA 51560-4357 |
| Nada Skaf | Rheumatology | Alegent Creighton Clinic | 6829 N 72nd St, Omaha, NE 68122-1724 |
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Amy Leah Mcgaha | Family Medicine | Alegent Creighton Clinic | 3308 Samson Way, Bellevue, NE 68123-3234 |
| Street Address |
810 N 22ND ST |
| City | BLAIR |
| State | NE |
| Zip | 68008-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary S Davey | Diagnostic Radiology | Radiology Consultants PC | 810 N 22nd St, Blair, NE 68008-1128 |
| Lynda Denise Arnold | Physician Assistant | Memorial Community Hospital Corporation | 810 N 22nd St, Blair, NE 68008-1128 |
| Michael M Dehning | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 810 N 22nd St, Methodist Physicians Clinic Heart Consults, Blair, NE 68008-1128 |
| Bryan Teruya | Pathology | Alegent Creighton Clinic | 810 N 22nd St, Blair, NE 68008-1128 |
| Susan E Miller-harsin | Clinical Social Worker | 810 N 22nd St, Blair, NE 68008-1128 | |
| Johnnie K Simonson | Family Medicine | Memorial Community Hospital Corporation | 810 N 22nd St, Blair, NE 68008-1128 |
| Subhash Paknikar | Diagnostic Radiology | Radiology Consultants PC | 810 N 22nd St, Blair, NE 68008-1128 |
| Salam S Salman | Pulmonary Disease | Alegent Creighton Clinic | 810 N 22nd St, Blair, NE 68008-1128 |
| William P Fitzgibbons | Family Medicine | Memorial Community Hospital Corporation | 810 N 22nd St, Blair, NE 68008-1128 |
| Bruce Town | Physician Assistant | Memorial Community Hospital Corporation | 810 N 22nd St, Blair, NE 68008-1128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis Joseph Harte | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| David M Nannen | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| Matthew W Thomas | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| Kevin Arthur Almquist | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| Grant M Rutledge | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| Whitney B Dam | Physical Therapy | Nannen Physical Therapy and Personal Training | 636 N 20th Ave, Blair, NE 68008-1116 |
| Paula Jo Thielen | Family Medicine | Memorial Community Hospital Corporation | 812 N 22nd St, Blair, NE 68008-1128 |
| Herman M Greenwald | Urology | Alegent Creighton Clinic | 810 N 22nd St, Blair, NE 68008-1128 |
| Brian J Herbin | Physician Assistant | Geoffrey C. Basler, M.d. P.C. | 810 N 22nd St, Blair, NE 68008-1128 |
| Andrew I Gelbman | Diagnostic Radiology | Radiology Consultants PC | 810 N 22nd St, Blair, NE 68008-1128 |
| Find all physicians in zip 68008 | |||
| City | BLAIR |
| Zip Code | 68008 |
| Specialty | PATHOLOGY |
| City + Specialty | BLAIR + PATHOLOGY |
Please comment or provide details below to improve the information on Wayne E Penka.
| 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.