Gothenburg Memorial Hospital
A Medicare group practice based in Gothenburg, NE: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6709832983), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6709832983
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 4
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050330001110 | NE | Part B Supplier - Clinic/Group Practice | 1922051531 |
| O20071108000008 | NE | Part A Provider - Critical Access Hospital | 1265502538 |
| O20070123000252 | NE | Part A Provider - Critical Access Hospital | 1922051531 |
| O20140919001001 | NE | Part A Provider - Rural Health Clinic | 1477953305 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Gothenburg Memorial Hospital
dba Gothenburg Health
- Medicare Defined Swing Bed Hospital Unit
- Gothenburg, NE
- NPI 1265502538
-
Gothenburg Memorial Hospital
dba Gothenburg Clinic
- Rural Health Clinic/Center
- Gothenburg, NE
- NPI 1477953305
-
Gothenburg Memorial Hospital
dba Gothenburg Health
- Critical Access Hospital
- Gothenburg, NE
- NPI 1922051531
Practice locations
- Gothenburg, NE4
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (12).
-
Brady Dutton Beecham, MD, MPH
- Family Medicine Physician
- Lexington, NE
- NPI 1427342435
-
Jonathan Blecha, M.D.
- Otolaryngology Physician
- Omaha, NE
- NPI 1841605102
-
Laxmi Narayana Raju Buddharaju, M.D.
- Medical Oncology Physician
- Des Moines, IA
- NPI 1184604993
-
Michelle K Chew, NP
- Nurse Practitioner
- Estes Park, CO
- NPI 1487627519
-
Michael Paulus Crisman, PA-C
- Physician Assistant
- Valentine, NE
- NPI 1164532594
-
Anna Dalrymple, MD
- Family Medicine Physician
- Lincoln, NE
- NPI 1659785467
-
Chamath R De Silva, MD
- Hematology & Oncology Physician
- Lafayette, CO
- NPI 1568588184
-
Lacy J Dye, LIMHP
- Mental Health Counselor
- Gothenburg, NE
- NPI 1114599610
-
Jackie E Erb
- Certified Registered Nurse Anesthetist
- Gothenburg, NE
- NPI 1396096400
-
Sophia Rene Gomez, PA-C
- Physician Assistant
- North Platte, NE
- NPI 1699581090
-
Jordan Amber Haake, APRN
- Family Nurse Practitioner
- Gothenburg, NE
- NPI 1104666734
-
Kayla S Knauss, D.O.
- Family Medicine Physician
- Gothenburg, NE
- NPI 1649652306
-
Amanda Dawn Miller, APRN
- Nurse Practitioner
- North Platte, NE
- NPI 1225775349
-
Tammy Niemoth
- Family Nurse Practitioner
- North Platte, NE
- NPI 1780565853
-
Brady James O'Hare, M.D.
- Surgery Physician
- Kearney, NE
- NPI 1922169663
-
Aaron I Salomon, PAC
- Physician Assistant
- Gothenburg, NE
- NPI 1689736019
-
Garret T Shaw, MD
- Family Medicine Physician
- Gothenburg, NE
- NPI 1871566695
-
Jordan Sieh
- Family Nurse Practitioner
- Gothenburg, NE
- NPI 1881069409
-
Amanda Marie Standage
- Nurse Practitioner
- North Platte, NE
- NPI 1659969426
-
Irfan A Vaziri, MD, MBBS
- Medical Oncology Physician
- Lincoln, NE
- NPI 1811900244
-
Swetha Siddappa Yadav, MD
- Medical Oncology Physician
- Kearney, NE
- NPI 1295942530
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.