Provider Type Icon

GOSNELL FAMILY MEDICINE PC NPI 1174951719


NPI Information

NPI: 1174951719
Provider Name: GOSNELL FAMILY MEDICINE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D2068805

Address:
210 MCNEEL LN
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 221-6262
Get Directions

GOSNELL FAMILY MEDICINE, PC is a family medicine in North Platte, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOSNELL FAMILY MEDICINE, PC NPI is 1174951719. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 MCNEEL LN
NORTH PLATTE, NE
ZIP 69101-290
Phone: (308) 221-6262
Fax: (308) 221-6261

The provider's authorized official is Wendy Jo Gosnell .
The authorized official title is President/owner and has the following contact phone number (308) 520-2694.

The CLIA number assigned to this NPI record is 28D2068805 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 6/28/2016.


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
1207Q00000XFamily Medicine21972NEBRASKAYes

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
110026366900MEDICAIDNEBRASKA

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: 11/14/2023

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.