Provider Demographics
NPI:1841201258
Name:KAREL, MICHAEL (PA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:KAREL
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FRIEND
Mailing Address - State:NE
Mailing Address - Zip Code:68359-1133
Mailing Address - Country:US
Mailing Address - Phone:402-947-2541
Mailing Address - Fax:402-947-2951
Practice Address - Street 1:905 2ND ST
Practice Address - Street 2:
Practice Address - City:FRIEND
Practice Address - State:NE
Practice Address - Zip Code:68359
Practice Address - Country:US
Practice Address - Phone:402-947-2541
Practice Address - Fax:402-947-2951
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1045207P00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE37850OtherBCBS
NE277344Medicare PIN
NE37850OtherBCBS
P62808Medicare UPIN
P00106857Medicare PIN