Greater Nebraska Dermatology Clinic, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

27070 Issued in NE

Legal business name

GREATER NEBRASKA DERMATOLOGY CLINIC, P.C.

Practice address

2509 Halligan Drive
Suite E
North Platte, NE 69101-7858

Phone

(402) 310-3310

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel MoselNPI 1558504803

Title

MD/Owner

Phone

(402) 310-3310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Dean Mosel, M.D.

  • Dermatology Physician
  • North Platte, NE
  • NPI 1558504803
  Medicare reassignment Care Compare group NPD Authorized official
• Danny Roelfs, PA-C

  • Physician Assistant
  • North Platte, NE
  • NPI 1255666111
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1699117457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 HALLIGAN DRIVE",
            "address_2": "SUITE E",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017858",
            "telephone_number": "402-310-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 HALLIGAN DRIVE",
            "address_2": "SUITE E",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017858",
            "telephone_number": "402-310-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEBRASKA DERMATOLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MOSEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "402-310-3310"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NE",
            "license": "27070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Plains Hospice/Linden Court (North Platte Nebraska Hospital Corporation)
• Great Plains Hospice/North Platte Care Center (North Platte Nebraska Hospital Corporation)
• Great Plains Hospice/Sutherland CC (North Platte Nebraska Hospital Corporation)
• Great Plains Medical Supply Inc (Great Plains Homecare Equipment)
• Great Plains Pho (Great Plains Health Innovation Network)
• Lisa Kay Green
• Star Greene, RDH
• Katelyn Ilene Greenhalgh
• Jaleen Marie Greenwood, PA-C
• Free Harmony Greer, NA

• Dermatology Physician in North Platte, NE
• Providers in North Platte, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.