Basic Information
| Provider Information | |||||||||
| NPI: | 1104995471 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWERTER | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | STEVEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1800 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 686021800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025647118 | ||||||||
| FaxNumber: | 4025623378 | ||||||||
| Practice Location | |||||||||
| Address1: | 4600 38TH ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 686011664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025647118 | ||||||||
| FaxNumber: | 4025623378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 08/28/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 19392 | NE | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7416 | 01 | NE | BCBS | OTHER | 240470 | 01 | NE | COVENTRY | OTHER | 2939 | 01 | NE | MIDLANDS | OTHER | P00203295 | 01 | NE | RAILROAD | OTHER |