George Gilbert Head, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16328 Issued in NE

Practice address

17241 Oak Drive
Suite 101
Omaha, NE 68130-2202

Phone

(402) 896-1242

Fax

(402) 896-8948

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• G Gilbert Head Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1063487379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17241 OAK DRIVE",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302202",
            "telephone_number": "402-896-1242",
            "fax_number": "402-896-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17241 OAK DRIVE",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302202",
            "telephone_number": "402-896-1242",
            "fax_number": "402-896-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "GEORGE",
        "middle_name": "GILBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073659713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G",
            "last_name": "HEAD",
            "middle_name": "GILBERT",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hazlo PC
• Ann M Hazuka, OTR/L
• HCP S-H Opco TRS, LLC (Brighton Gardens of Omaha)
• Nancy He, MD
• Christine Jo Head, PA
• Melanie Headlee
• Valerie A Headlee
• Cheryl Lynne Headley, SLP
• Nancy Headley
• Zachariah Scott Headley, MD

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.