High Plains Medical Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HIGH PLAINS MEDICAL FOUNDATION

Doing business as

Sidney Medical Associates

Practice address

1625 Dorwart Dr
Sidney, NE 69162-2505

Phone

(308) 254-5544

Fax

(308) 254-2672

NPI assigned

Nov 1, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WESTERN NEBRASKA HEALTH SYSTEMSAs reported in NPPES

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

Authorized official

Name

Mr. Craig Brauer

Title

President/Ceo

Phone

(308) 254-5544

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Sidney Medical Associates Doing business as

Locations

Practitioners 5

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.

• Calvin W Cutright, M.D.

  • Family Medicine Physician
  • Sidney, NE
  • NPI 1417036310
  NPD (past)
• Clinton B Dorwart, M.D.

  • Family Medicine Physician
  • Sidney, NE
  • NPI 1669551552
  NPD (past)
• Michael L Matthews, M.D.

  • Family Medicine Physician
  • Sidney, NE
  • NPI 1821177726
  NPD (past)
• Jack E Hall, PA

  • Medical Physician Assistant
  • Pueblo West, CO
  • NPI 1619284239
  NPD (past)
• Chad L McCance, MD

  • Surgery Physician
  • Atlantic, IA
  • NPI 1093770083
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1710064316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "address_2": "PO BOX 379",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEBRASKA HEALTH SYSTEMS",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "308-254-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "283860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025499400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN7427",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1945",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathaleen Ann Henderson
• Dakota T Henry
• Chelsea Ann Hickman
• Michael Patrick Hicks
• Robyn Denise Hicks, PT
• Elliott Matthew Highby
• Derek Hill
• Janette Rose Hill, LPN
• Audrey Ann Hines, PLMHP
• Nancy Hochanadel

• Clinic/Center in Sidney, NE
• Providers in Sidney, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.