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NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC NPI 1740465715


NPI Information

NPI: 1740465715
Provider Name: NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 28D0999848

Address:
601 W LEOTA ST
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 696-8347
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NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC is an emergency medicine in North Platte, NE. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC NPI is 1740465715. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 W LEOTA ST
NORTH PLATTE, NE
ZIP 69101-525
Phone: (308) 696-8347
Fax: (308) 696-8349

The provider's authorized official is Krystal R. Claymore .
The authorized official title is Board Of Managers and has the following contact phone number (308) 696-7496.

The CLIA number assigned to this NPI record is 28D0999848 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 6/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
6208000000XPediatricsNo
72084N0400XPsychiatry & NeurologyNeurologyNo
82084P0800XPsychiatry & NeurologyPsychiatryNo
9208800000XUrologyNo
10363AM0700XPhysician AssistantMedicalNo
11363L00000XNurse PractitionerNo
12367500000XNurse Anesthetist, Certified RegisteredNo
13207P00000XEmergency MedicineYes
14208600000XSurgeryNo
15207X00000XOrthopaedic SurgeryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN5151OTHERRAILROAD MEDICARE
2NA1095MEDICARE PINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.