Katie L Wood (NPI# 1558614172, PAC ID# 6406008903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558614172 |
| PAC ID by PECOS | 6406008903 |
| Professional Enrollment ID | I20121207000508 |
| Full Name | Katie L Wood |
| Organization Legal Name | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| Address |
47452 268 Ave Suite C Humphrey NE 68642-5178 |
| Phone Number | 4029230150 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193786168 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280125 | FAITH REGIONAL HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 47452 268 Ave, Suite C, Humphrey, NE 68642-5178 | 4029230150 | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| 110 N 29th St, Norfolk, NE 68701-4466 | FAITH REGIONAL PHYSICIAN SERVICES LLC | |
| 2024 W Pasewalk Ave, 1 Frps Urgent Care, Norfolk, NE 68701-4629 | 4028448301 | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| 301 N 27th St, Norfolk, NE 68701-4457 | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| Organization Legal Name | FAITH REGIONAL PHYSICIAN SERVICES LLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Owens | Physician Assistant | Faith Regional Physician Services LLC | 109 N 29th St, 1 Frps Gastroenterology, Norfolk, NE 68701-3261 |
| Alex K Laudenklos | Obstetrics/gynecology | Faith Regional Physician Services LLC | 301 N 31st St, Frps Ob/gyn, Norfolk, NE 68701-3466 |
| Jenny K Jenner | Nurse Practitioner | Faith Regional Physician Services LLC | 2024 W Pasewalk Ave, 1 Frps Urgent Care, Norfolk, NE 68701-4629 |
| Ashraf S B Jmeian | Interventional Cardiology | Faith Regional Physician Services LLC | 110 N 29th St, 301 Cardiovascular Institute, Norfolk, NE 48701-4466 |
| Stacy A Froehlich | Nurse Practitioner | Faith Regional Physician Services LLC | 1009 Ivy St, Stanton, NE 68779-2341 |
| Robert I Prince | Pain Management | Faith Regional Physician Services LLC | 2622 W Norfolk Ave, 200 Frps Endocrinology, Norfolk, NE 68701-4423 |
| Corinna L Hansen | Nurse Practitioner | Faith Regional Physician Services LLC | 94 Market Pl, Norfolk, NE 68701-6905 |
| Mary P Kuehler | Nurse Practitioner | Faith Regional Physician Services LLC | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 |
| Sarah A Anderson | Nurse Practitioner | Faith Regional Physician Services LLC | 306 W 2nd St, Frps Tilden Family Medicine, Tilden, NE 68781-4760 |
| Nicholas F Boyle | General Surgery | Faith Regional Physician Services LLC | 301 N 27th St, 11 Frps General Surgery, Norfolk, NE 68701-4457 |
| Street Address |
47452 268 AVE SUITE C |
| City | HUMPHREY |
| State | NE |
| Zip | 68642-5178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michaela L Small | Nurse Practitioner | Faith Regional Physician Services LLC | 47452 268 Ave, Suite C, Humphrey, NE 68642-5178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audra L Scheerger | Chiropractic | 303 Main St, Humphrey, NE 68642-3163 |
| City | HUMPHREY |
| Zip Code | 68642 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HUMPHREY + PHYSICIAN ASSISTANT |
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| 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.