NPIMap

Organization Active NPI

Physicianas Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1013290477
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHYSICIANAS CLINIC, INC.
Practice address
515 N 162ND Ave
Ste. 300
Omaha, NE 68118-2539
Phone
(402) 393-6624
Fax
(402) 393-6635
NPI assigned
Sep 22, 2011
Organization subpart
Yes
Parent organization
NE METHODIST HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Todd D Grages
Title
President
Phone
(402) 354-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

515 N 162ND Ave
Ste. 300
Omaha, NE 68118-2539

Mailing address

8601 W Dodge Rd
Suite #216
Omaha, NE 68114-3457
Phone (402) 354-5451

Other names 1

  • Methodist Physicians Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James Horrocks MD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1013290477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD",
            "address_2": "SUITE #216",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-354-5451",
            "fax_number": "402-354-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 162ND AVE",
            "address_2": "STE. 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182539",
            "telephone_number": "402-393-6624",
            "fax_number": "402-393-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANAS CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NE METHODIST HEALTH SYSTEM",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "GRAGES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-354-5609"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.