Keith Vollstedt (NPI# 1417951161, PAC ID# 4789632464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1417951161 |
| PAC ID by PECOS | 4789632464 |
| Professional Enrollment ID | I20070625000500 |
| Full Name | Keith Vollstedt |
| Organization Legal Name | MIDLANDS CLINIC PC |
| Address |
1200 Providence Rd Wayne NE 68787-1212 |
| Phone Number | 4023757953 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8820981681 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| 281345 | PROVIDENCE MEDICAL CENTER |
| 160146 | ST LUKES REGIONAL MEDICAL CENTER |
| 430089 | DUNES SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5081 | 6052175500 | MIDLANDS CLINIC PC |
| 801 5th St, Sioux City, IA 51101-1326 | 7122792010 | MIDLANDS CLINIC PC |
| 1200 Providence Rd, Wayne, NE 68787-1212 | 4023757953 | MIDLANDS CLINIC PC |
| Organization Legal Name | MIDLANDS CLINIC PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Welander | General Surgery | Midlands Clinic PC | 4301 Sergeant Rd, Suite 120, Sioux City, IA 51106-4710 |
| Inderjit S Chabra | Dermatology | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Craig Nemechek | General Surgery | Midlands Clinic PC | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5081 |
| Amy L Dietrich | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Sarah M Bligh | Gastroenterology | Midlands Clinic PC | 801 5th St, Sioux City, IA 51101-1326 |
| Emily Kruse | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Lori Ann Drea | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Michelle L Daffer | Dermatology | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Mary Ann Schultz | Physician Assistant | Midlands Clinic PC | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5081 |
| Paul E Johnson | General Surgery | Midlands Clinic PC | 601 E 2nd St, Oakland, NE 68045-1400 |
| Street Address |
1200 PROVIDENCE RD |
| City | WAYNE |
| State | NE |
| Zip | 68787-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Dobbins | Family Medicine | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Gary J West | Physician Assistant | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Samuel J Recob | Family Medicine | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Joseph H Carreau | Orthopedic Surgery | Cnos PC | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Benjamin J Martin | Family Medicine | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Mark O Mccorkindale | Family Medicine | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Ross S Hansen | Physician Assistant | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Angela Mclaughlin | Family Medicine | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Makayla L Garcia | Nurse Practitioner | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Diane Corredor Meyer | Nurse Practitioner | Providence Medical Center | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Hopkins | Optometry | Magnuson Hopkins Eyecare PC | 1112 W 7th St, Wayne, NE 68787-1683 |
| Rachel Renee Gilliland | Optometry | Magnuson Hopkins Eyecare PC | 1112 W 7th St, Wayne, NE 68787-1683 |
| Scott Ronhovde | Optometry | Magnuson Hopkins Eyecare PC | 1112 W 7th St, Wayne, NE 68787-1683 |
| Sarah Peterson | Chiropractic | Herman Chiropractic P C | 1302 W 7th St, Wayne, NE 68787-1692 |
| Larry M Magnuson | Optometry | Magnuson Hopkins Eyecare PC | 215 W 2nd St, Wayne, NE 68787-1842 |
| Robert K Krugman | Chiropractic | Wayne Sport and Spine PC | 214 N Pearl, Wayne, NE 68787-1902 |
| Todd R Luedeke | Certified Registered Nurse Anesthetist (crna) | 214 N Pearl St, Wayne, NE 68787-1902 | |
| Levi E Kenny | Chiropractic | 214 N Pearl St, Wayne, NE 68787-1902 | |
| Donald E Koeber | Optometry | 313 Main St, Wayne, NE 68787-1925 |
| City | WAYNE |
| Zip Code | 68787 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WAYNE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Keith Vollstedt.
| 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.