Kelly Rd Mccarthy (NPI# 1295264547, PAC ID# 6002181757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1295264547 |
| PAC ID by PECOS | 6002181757 |
| Professional Enrollment ID | I20171005000423 |
| Full Name | Kelly Rd Mccarthy |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
510 E Philip Ave North Platte NE 69101-5538 |
| Phone Number | 3085347271 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 510 E Philip Ave, North Platte, NE 69101-5538 | 3085347271 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Brooke A Wiener | Optometry | Shopko Stores Operating Co LLC | 5630 St Croix Trail, North Branch, MN 55056 |
| Street Address |
510 E PHILIP AVE |
| City | NORTH PLATTE |
| State | NE |
| Zip | 69101-5538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny L Roelfs | Physician Assistant | Greater Nebraska Dermatology Clinic, P.C. | 2509 Hallligan Dr E, North Platte, NE 69101 |
| Imanual Somers-dehaney | Diagnostic Radiology | Foundation Radiology Group PC | 8353 S Sagebrush Rd, North Platte, NE 69101-0472 |
| Robin K Compton | Certified Registered Nurse Anesthetist (crna) | North Platte Surgery Center Anesthesia, LLC | 621 W Francis St, North Platte, NE 69101-0608 |
| Gregory T Mccabe | Anesthesiology | North Platte Surgery Center Anesthesia, LLC | 621 W Francis St, North Platte, NE 69101-0608 |
| Jody L Jondro | Certified Registered Nurse Anesthetist (crna) | North Platte Surgery Center Anesthesia, LLC | 621 W Francis St, North Platte, NE 69101-0608 |
| Michael L Pochop | Anesthesiology | North Platte Surgery Center Anesthesia, LLC | 621 W Francis St, North Platte, NE 69101-0608 |
| Millie Erickson | Urology | North Platte Nebraska Hospital Corporation | 611 W Francis St, North Platte, NE 69101-0614 |
| Henrik Mike-mayer | Orthopedic Surgery | North Platte Nebraska Hospital Corporation | 611 W Francis St, North Platte, NE 69101-0614 |
| Jesse D Dunn | Family Medicine | Midlands Family Medicine | 611 W Francis St, Suite 100, North Platte, NE 69101-0614 |
| Jefrey Start | Family Medicine | North Platte Nebraska Hospital Corporation | 611 W Francis St, North Platte, NE 69101-0614 |
| Find all physicians in zip 69101 | |||
| City | NORTH PLATTE |
| Zip Code | 69101 |
| Specialty | OPTOMETRY |
| City + Specialty | NORTH PLATTE + OPTOMETRY |
Please comment or provide details below to improve the information on Kelly Rd Mccarthy.
| 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.