NPIMap

Organization Active NPI

Internal Medicine Associates of North Platte LLC

  • Specialist
  • North Platte, NE
National Provider Identifier
1962530485
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12510 Issued in NE
Legal business name
INTERNAL MEDICINE ASSOCIATES OF NORTH PLATTE LLC
Practice address
500 W Leota St
Suite 150
North Platte, NE 69101-6576
Phone
(308) 532-3022
Fax
(308) 532-3335
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Mark A Nielsen, M.D.NPI 1730152984
Title
President
Phone
(308) 532-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12510 NE Primary

Addresses

Primary practice location

500 W Leota St
Suite 150
North Platte, NE 69101-6576

Mailing address

500 W Leota St
Suite 150
North Platte, NE 69101-6576
Phone (308) 532-3022

National Provider Directory

National Provider Directory

Locations

500 W Leota St
#150
North Platte, NE 69101
Phone (308) 532-3022

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1962530485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LEOTA ST",
            "address_2": "SUITE 150",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016576",
            "telephone_number": "308-532-3022",
            "fax_number": "308-532-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LEOTA ST",
            "address_2": "SUITE 150",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016576",
            "telephone_number": "308-532-3022",
            "fax_number": "308-532-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF NORTH PLATTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-532-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.