Catherine E Shirek, MD
Individual provider Active NPI Family Medicine Physician · Hettinger, ND
NPI 1013003755 · NPPES record last updated Oct 1, 2018
Key facts
- NPI
- 1013003755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5862 (ND)
- Practice address
- 1000 Highway 12
Hettinger, ND 58639-7530 - Phone
- (701) 567-4561
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West River Health Services
Omaha Therapy Inc
Practice addresses (Care Compare)
1000 Hwy 12
Hettinger, ND 58639-7530
Phone (701) 567-4561
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
Hospital & facility affiliations
- West River Regional Medical Center
- Sanford Medical Center Bismarck
- CHI St Alexius Health Dickinson
- Western Horizons Care Center
- West River Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040812000985 | ND | Practitioner - Family Practice | 7810969482 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West River Health Services | Current |
Accepting new patients | |
| West River Health Services | Current |
Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| West River Health Services | Past | Accepting new patients |
Locations
608 Highway 12 W
Bowman, ND 58623
Phone (701) 523-3255
1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561
401 Millionaire Ave
Ste B
Mott, ND 58646
Phone (701) 824-2391
Interoperability endpoints
- catherinehoule@wrhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5862 | ND | Yes |
Addresses
Primary practice location
1000 Highway 12
Hettinger, ND 58639-7530
Mailing address
1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-4561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41329 | Other | SIOUX VALLEY | |
| 11032 | Other | ND BC/BS | |
| 16788 | Medicaid | ND | |
| 45034068812 | Medicaid | NE | |
| 24870 | Other | ND BC/BS | |
| 7776110 | Medicaid | SD |
Other names
- Catherine E Houle
Other providers in Hettinger, ND
- Joshua Ranum
- John Roll
- Liane Ruhland
- Monica Schaefer
- Mitchell C. Schultz
- Alex Thompson
- Kathleen Thompson
- Natalie Marie Thompson
- Frank A Thorngren
- Joan Lea Upton
All providers in Hettinger, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.