Great Plains N Urology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22506 Issued in NE

Legal business name

GREAT PLAINS N UROLOGY PC

Practice address

600 W 12TH St
Imperial, NE 69033-3130

Phone

(308) 414-1968

Fax

(308) 534-3404

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Richard Schmidt

Title

MD

Phone

(308) 414-1968

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1770609232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1542",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577091542",
            "telephone_number": "308-414-1968",
            "fax_number": "308-534-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333130",
            "telephone_number": "308-414-1968",
            "fax_number": "308-534-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS N UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "308-414-1968"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "22506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100263002-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "099638002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250070-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Chase
• Angela Crayton
• Marissa Dreiling, OTD, OTR/L
• Kerri Mae Forcella, PA-C
• Larissa Ann Gerhartz, P.T.A
• Danial Joel Hanlon
• Dianne Harms, RPH
• Nicole M Havel, PA
• Kala Sue Holmes
• Ashley Holscher, DPT

• All providers in Imperial, NE
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.