Individual provider Active NPI

Stuart Gordon Oxford, MD

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
National Provider Identifier
1003895178
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15157 Issued in NE
Practice address
8309 Cass St
Omaha, NE 68114
Phone
(402) 397-8891
Fax
(402) 397-8892
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 15157 NE Primary
Physical Medicine & Rehabilitation Physician 208100000X 31601 IA

Addresses

Primary practice location

8309 Cass St
Omaha, NE 68114

Mailing address

PO Box 34597
Omaha, NE 68134-0597
Phone (402) 397-8891

Other identifiers 3

IdentifierTypeStateIssuer
250000014OtherPALMETTO GBA - RRMC
0905802MedicaidIA
47062885200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000225 NE Practitioner - Physical Medicine and Rehabilitation 7012986698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15157NEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center, Inc. Current Accepting new patients
BPRC LLC Past Accepting new patients

Locations

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/gcgrape-e58a524f

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1003895178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34597",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340597",
            "telephone_number": "402-397-8891",
            "fax_number": "402-397-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-397-8891",
            "fax_number": "402-397-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXFORD",
        "first_name": "STUART",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "15157",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "31601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RRMC",
            "identifier": "250000014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0905802",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47062885200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.