, NPI 1912909144
Clinic/Center in OMAHA, NE
Last Updated on : Feb 17,2021
About (NPI 1912909144)
is a Clinic/Center in OMAHA, United States with a focus in Ambulatory Surgical .
1912909144 is NPI number of .
's primary taxonomy code based on NPI Lookup is 261QA1903X with license number ASC027. This taxonomy code refers to Clinic/Center.
current practice location address is 111 1/2 S 90TH ST, OMAHA, NE. can be reached out via phone at 402-397-7178 and via fax at 402-397-7591 .
You can also correspond with through mail at mailing address 111 S 90TH ST, OMAHA, NE, United States. Mailing address contact number is 402-397-9800.
The enumeration date of is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 2 years ago. The authorized official of is Laura Forehead (Administrator). Laura Forehead can be reached at 4023979800.1912909144 NPI Information
Basic NPI information of (NPI 1912909144) is provided below.
| Name | |
|---|---|
| National Provider Id (NPI) | 1912909144 |
| Entity Type | Organization |
| Practice Address | 111 1/2 S 90TH ST,
OMAHA, NE, United States |
| Practice Telephone | 402-397-7178 |
| Practice Fax Number | 402-397-7591 |
| Mailing Address | 111 S 90TH ST ,
OMAHA, NE, United States |
| Mailing Telephone | 402-397-9800 |
| Mailing Fax Number | 402-397-7591 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 17-Feb-2021 |
(NPI 1912909144) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261QA1903X | Clinic/Center, Ambulatory Surgical | ASC027 | NE |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92106 | MEDICARE ID-Type Unspecified (04) | NE | |
| ========= | MEDICAID (05) | NE |
(NPI 1912909144) Office Location
Office location of is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1184131252 | LAUREL NICHOLE GASS | Counselor, Mental Health | 9921 COTTONWOOD,
OMAHA, AR, United States |
10-Jan-2018 |
| 1124582101 | RACHAEL ROSS | Physical Therapy Assistant | 6575 DOGWOOD DR,
OMAHA, AR, United States |
24-Jan-2019 |
| 1134687148 | PATRICIA ANN HURST | Physical Therapist | 10914 CRICKET CUTOFF,
OMAHA, AR, United States |
08-Mar-2019 |
| 1033410782 | KARL TRUE HURST | Specialist | 10914 CRICKET CUTOFF,
OMAHA, AR, United States |
11-Nov-2010 |
| 1427458272 | PAMELA KATE MORRIS | Counselor, Mental Health | 9735 STONEGATE DR,
OMAHA, AR, United States |
29-Aug-2014 |
| 1831326826 | OMALEE DENTAL LLC | Clinic/Center, Dental | 14 SIXTH AVE,
OMAHA, GA, United States |
17-Jun-2009 |
| 1306001573 | BETH RANEY | Occupational Therapy Assistant | 517 7TH ST,
OMAHA, IL, United States |
26-Jul-2008 |
| 1649516741 | GAIL ELIZABETH DAILEY | Physical Therapy Assistant | 6800 RISTER RD,
OMAHA, IL, United States |
17-Dec-2012 |
| 1801220132 | CRISTIN LEIGHANN CLEEK | Audiologist | 21875 NOEL RD,
OMAHA, IL, United States |
22-Aug-2013 |
| 1558349449 | JENNIFER ANNE COWLEY | Pharmacist, Pharmacotherapy | 989200 NEBRASKA MEDICAL CTR,
OMAHA, NE, United States |
03-Jan-2006 |
| 1306234141 | AMY J ZOOK | Counselor, Mental Health | 1941 S 42ND ST,
#129 OMAHA, NE, United States |
01-Jan-2015 |
| 1144387267 | IDA MARIE HEBRANK | Counselor, Addiction (Substance Use Disorder) | 8715 OAK ST,
OMAHA, NE, United States |
02-Jan-2007 |
| 1780731828 | JANICE LAWRENCE | Physician Assistant | 110 N MAIN ST,
OAKLAND, IA, United States |
04-Jan-2007 |
| 1275690265 | RENEE MICHELLE JOHNSON SAYER | Nurse Practitioner | 7261 MERCY RD,
OMAHA, NE, United States |
02-Jan-2007 |
| 1215094214 | RITA PETSCH | Nurse Practitioner | PO BOX 642117,
OMAHA, NE, United States |
02-Jan-2007 |
| 1730246745 | DANIEL H. RICHTER | Family Medicine | 809 ELM ST,
MISSOURI VALLEY, IA, United States |
02-Jan-2007 |
| 1407913411 | MARY ELLEN CHRIST-ANDERSON | Counselor, Mental Health | 7330 FARNAM ST,
SUITE 200 OMAHA, NE, United States |
02-Jan-2007 |
| 1588721401 | CHARLES PIGNERI | Family Medicine | PO BOX 642117,
OMAHA, NE, United States |
02-Jan-2007 |
| 1124185061 | CHRISTOPHER T MILLER | Physician Assistant | PO BOX 642117,
OMAHA, NE, United States |
02-Jan-2007 |
| 1679630560 | LANA STEPHENS | Nurse Practitioner | 17810 WELCH PLZ,
OMAHA, NE, United States |
02-Jan-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1912909144?1912909144 is the NPI number of .
Where is located?is located at 111 1/2 S 90TH ST, OMAHA, NE.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|