Walid M Kutayli (NPI# 1346321981, PAC ID# 4688866031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1346321981 |
| PAC ID by PECOS | 4688866031 |
| Professional Enrollment ID | I20101004001511 |
| Full Name | Walid M Kutayli |
| Organization Legal Name | INTEGRATED CARDIOLOGY GROUP LLC |
| Address |
2910 Betten Dr Crete NE 68333-3084 |
| Phone Number | 4028262102 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7911803796 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280003 | BRYAN MEDICAL CENTER |
| 280111 | COLUMBUS COMMUNITY HOSPITAL |
| 281364 | BEATRICE COMM HOSPITAL & HLTH CENTER |
| 281354 | CRETE AREA MEDICAL CENTER |
| 261303 | COMMUNITY HOSPITAL ASSOCIATION |
| Address | Phone | Organization |
|---|---|---|
| 1715 26th St, Central City, NE 68826-9501 | 3089463015 | INTEGRATED CARDIOLOGY GROUP LLC |
| 4508 38th St, Suite 107, Columbus, NE 68601-1678 | 4025621533 | INTEGRATED CARDIOLOGY GROUP LLC |
| 4600 38th St, Columbus, NE 68601-1664 | 4025647118 | INTEGRATED CARDIOLOGY GROUP LLC |
| 2910 Betten Dr, Crete, NE 68333-3084 | 4028262102 | INTEGRATED CARDIOLOGY GROUP LLC |
| 1600 S 48th St, Lincoln, NE 68506-1275 | 4024833333 | INTEGRATED CARDIOLOGY GROUP LLC |
| 1600 S 48th St, Bryan Medical Center, Lincoln, NE 68506-1299 | 4024890200 | INTEGRATED CARDIOLOGY GROUP LLC |
| 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 | 4024838444 | INTEGRATED CARDIOLOGY GROUP LLC |
| Organization Legal Name | INTEGRATED CARDIOLOGY GROUP LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre N Orduna | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Sara E Hargreaves | Vascular Surgery | Integrated Cardiology Group LLC | 1760 County Rd J, Wahoo, NE 68066-4152 |
| Joseph L Kummer | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Mathue M Baker | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 220 Essie Davison Dr, Clarinda Regional Health Center, Clarinda, IA 51632-2915 |
| Matthew B Schaffer | Nurse Practitioner | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Clyde R Meckel | Interventional Cardiology | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Eric R Sprague | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Eugenia M Miller | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 715 N Kansas Ave, 100 Bryan Heart Mary Lanning Cardiology, Hastings, NE 68901-4453 |
| Christopher R Balwanz | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 1600 S 48th St, 600 Bryan Heart, Lincoln, NE 68506-1275 |
| Garner J Wilson | Physician Assistant | Integrated Cardiology Group LLC | 2222 S 16th St Fl, 7 Select Specialty Hospital, Lincoln, NE 68502-3704 |
| Street Address |
2910 BETTEN DR |
| City | CRETE |
| State | NE |
| Zip | 68333-3084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Kummer | Cardiovascular Disease (cardiology) | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Tammy M Schroeder | Nurse Practitioner | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Scott Allen Schroeder | Nurse Practitioner | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Michael Lee Koebernick | Physician Assistant | Lincoln Orthopaedic Center PC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Clyde R Meckel | Interventional Cardiology | Integrated Cardiology Group LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Kimberly S Mcmillan | Physician Assistant | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Suree Michelle Schilz | Physician Assistant | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Abby E Cole | Physician Assistant | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Thomas J Tegt | Otolaryngology | The Physician Network | 2910 Betten Dr, Crete, NE 68333-3084 |
| Charles E Scholtes | Physician Assistant | Lincoln Orthopaedic Center PC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Allen Felsing | Chiropractic | 1314 Main Ave, Crete, NE 68333-1504 | |
| Bruce E Wahl | Chiropractic | 220 E 13th St, Crete, NE 68333-2237 | |
| Carry R Crist | Chiropractic | Countryside Chiropractic PC | 1106 Main Ave, Crete, NE 68333-2258 |
| Julie M Crist | Chiropractic | Countryside Chiropractic PC | 1106 Main Ave, Crete, NE 68333-2258 |
| Deborah K Bessler | Optometry | 1119 Main Ave, Crete, NE 68333-2259 | |
| Krystal M Jackson | Physician Assistant | Innovative Community Health Institute LLC | 969 E Hwy 33, Saline Medical Specialties, Crete, NE 68333-2547 |
| Josue D Gutierrez | Family Medicine | Innovative Community Health Institute LLC | 969 E Hwy 33, Saline Medical Specialties, Crete, NE 68333-2547 |
| Ivelisse B Zima | Physician Assistant | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Kurt L Schmeckpeper | Physician Assistant | Crete Area Medical Center | 2910 Betten Dr, Crete, NE 68333-3084 |
| Jordan J Rixen | Ophthalmology | Eye Surgical Associates LLC | 2910 Betten Dr, Crete, NE 68333-3084 |
| Find all physicians in zip 68333 | |||
| City | CRETE |
| Zip Code | 68333 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | CRETE + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Walid M Kutayli.
| 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.