Gary D Cuddy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

633 Issued in NE

Practice address

300 N 2ND St
Oneill, NE 68763-1519

Phone

(402) 336-2900

NPI assigned

Jun 1, 2005

Last updated

Feb 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital DistrictGroup PAC ID 7517856859, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.cuddy@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Memorial Hospital District

  dba Syracuse Area Health

  • Critical Access Hospital
  • Syracuse, NE
  • NPI 1013925924
  Medicare reassignment Care Compare group NPD
• Community Memorial Hospital District

  dba SAH Professional Services

  • Family Medicine Physician
  • Syracuse, NE
  • NPI 1336155134
  Medicare reassignment
• Nextcare Nebraska Providers LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Lincoln, NE
  • NPI 1942942909
  Medicare reassignment
• Rheumatology & Osteoporosis Services, P.C.

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1174737597
  Medicare reassignment
• Community Memorial Hospital District

  • Family Medicine Physician
  • Hickman, NE
  • NPI 1134097900
  NPD
• Community Memorial Hospital District

  dba Strasburger Orthopaedics

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1699392019
  NPD
• Sacred Heart Rural Health Clinics

  dba Avera Holt County Medical Clinic

  • Family Medicine Physician
  • O'Neill, NE
  • NPI 1669458899
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1609878826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630270",
            "telephone_number": "402-336-2901",
            "fax_number": "402-336-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 2ND ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631519",
            "telephone_number": "402-336-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDY",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46042393011",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "460423930",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "3863",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "460423930",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7909019",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9238079",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA BCBS",
            "identifier": "37387",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0123939",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in O'Neill, NE
• Providers in O'Neill, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.