Omaha Vascular Specialists LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OMAHA VASCULAR SPECIALISTS LLC

Practice address

8111 Dodge St
Suite 220
Omaha, NE 68114-4129

Phone

(402) 393-6624

Fax

(402) 393-6635

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eugene A. Waltke, MD

Title

President

Phone

(402) 393-6624

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard Timothy Baxter, M.D.

  • Vascular Surgery Physician
  • Omaha, NE
  • NPI 1609850213
  NPD (past)
• Scott P. Wattenhofer, M.D.

  • Vascular Surgery Physician
  • Omaha, NE
  • NPI 1215911813
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1043290406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST",
            "address_2": "SUITE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144129",
            "telephone_number": "402-393-6624",
            "fax_number": "402-393-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 DODGE ST",
            "address_2": "SUITE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144129",
            "telephone_number": "402-393-6624",
            "fax_number": "402-393-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA VASCULAR SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WALTKE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-393-6624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770002841",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4571",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omaha Vamc
• Omaha Vamc
• Omaha Vamc
• Omaha Vamc
• Omaha Vamc
• Omaha Veterans Hospital
• Omaha Wellness Collective
• Halima Omar Muya
• Abdulkadir Omar
• Ali Osman Omar

• Specialist in Omaha, NE
• Providers in Omaha, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.