Provider Demographics
NPI:1427042910
Name:HUGHES, ROMMIE J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMMIE
Middle Name:J
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 W 42ND ST
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-0615
Mailing Address - Country:US
Mailing Address - Phone:308-632-2872
Mailing Address - Fax:308-632-4191
Practice Address - Street 1:2 W 42ND ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-0615
Practice Address - Country:US
Practice Address - Phone:308-632-2872
Practice Address - Fax:308-632-4191
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE211372086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47070174412Medicaid
NEG95586Medicare UPIN
NE271793Medicare ID - Type Unspecified