Physicians Clinic Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHYSICIANS CLINIC INC

Doing business as

Methodist Physicians Clinic

Practice address

11946 Standing Stone Drive
Gretna, NE 68028-8094

Phone

(402) 815-4500

Fax

(402) 815-4510

NPI assigned

Apr 23, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICIANS CLINIC INCAs reported in NPPES

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

Authorized official

Name

Todd D Grages

Title

President

Phone

(402) 354-5609

Specialties & licenses 1

Addresses

Other names 1

• Methodist Physicians Clinic Doing business as

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

CLIA laboratory certificates

Part of

John J Hoesing MD

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1841687191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 STANDING STONE DRIVE",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680288094",
            "telephone_number": "402-815-4500",
            "fax_number": "402-815-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS CLINIC INC",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "GRAGES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-354-5609"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Pessig
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• Cristine Peterson, PLMHP
• Sara Petska
• Thao Thanh Phan, RPH
• Emily Pierson, OTR/L
• Bridget Rachelle Plathe, RN
• Michelle Platt
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• Durable Medical Equipment & Medical Supplies in Gretna, NE
• Providers in Gretna, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.