Anpo W Charging Thunder (NPI# 1922252295, PAC ID# 7416117288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922252295 |
| PAC ID by PECOS | 7416117288 |
| Professional Enrollment ID | I20140827000688 |
| Full Name | Anpo W Charging Thunder |
| Organization Legal Name | GORDON MEMORIAL HOSPITAL |
| Address |
300 E 8th St Gordon NE 69343-1123 |
| Phone Number | 3082820401 |
| Gender | F |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072403575 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281358 | GORDON MEMORIAL HOSPITAL DISTRICT |
| 281341 | CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES |
| 161354 | HORN MEMORIAL HOSPITAL |
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 E 8th St, Gordon, NE 69343-1123 | 3082820401 | GORDON MEMORIAL HOSPITAL |
| 300 E 8th St, Gordon Memorial District, Gordon, NE 69343-1123 | 3082820401 | GORDON MEMORIAL HOSPITAL |
| 807 N Ash St, Gordon, NE 69343-1132 | GORDON MEMORIAL HOSPITAL | |
| 307 Conrad St, Rushville, NE 69360-6503 | 3083272757 | GORDON MEMORIAL HOSPITAL |
| Organization Legal Name | GORDON MEMORIAL HOSPITAL |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaleigh Krebs | Nurse Practitioner | Gordon Memorial Hospital | 807 N Ash St, Gordon, NE 69343-1132 |
| Cassie M Banks | Nurse Practitioner | Gordon Memorial Hospital | 807 N Ash St, Gordon, NE 69343-1132 |
| Ronda L Larson | Physician Assistant | Gordon Memorial Hospital | 300 E 8th St, Gordon, NE 69343-1123 |
| Street Address |
300 E 8TH ST |
| City | GORDON |
| State | NE |
| Zip | 69343-1123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Reiner | Chiropractic | 300 E 8th St, Watsontown, PA 17777-1034 | |
| Joseph L Tuma | Internal Medicine | Rapid City Regional Hospital Inc | 300 E 8th St, Gordon Memorial Hospital, Gordon, NE 69343-1199 |
| Peggy S West | Nurse Practitioner | Marietta Health Care Physicians, Inc | 300 E 8th St, Suite 120, Marietta, OH 45750-3379 |
| Ronda L Larson | Physician Assistant | Gordon Memorial Hospital | 300 E 8th St, Gordon, NE 69343-1123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaleigh Krebs | Nurse Practitioner | Gordon Memorial Hospital | 807 N Ash St, Gordon, NE 69343-1132 |
| Cassie M Banks | Nurse Practitioner | Gordon Memorial Hospital | 807 N Ash St, Gordon, NE 69343-1132 |
| John T Freeseman | Chiropractic | 229 N Main St, Gordon, NE 69343-1277 |
| City | GORDON |
| Zip Code | 69343 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GORDON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Anpo W Charging Thunder.
| 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.