NPIMap

Organization Active NPI

Joshua Medical Centers LLC

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1063720084
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSHUA MEDICAL CENTERS LLC
Practice address
2429 M St
Omaha, NE 68107-2715
Phone
(402) 731-7333
Fax
(402) 614-5405
NPI assigned
Sep 24, 2010
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Mr. David Kershner, P.A.NPI 1144304429
Title
President
Phone
(302) 715-1827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2429 M St
Omaha, NE 68107-2715

Mailing address

PO Box 7365
Omaha, NE 68107-2715
Phone (302) 715-1827

Other identifiers 1

IdentifierTypeStateIssuer
10026076500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000087 NE Part B Supplier - Clinic/Group Practice 9234301227 Receives reassigned benefits from 6 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

2419 M St
Omaha, NE 68107
Phone (402) 731-7333

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1063720084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7365",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "302-715-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-715-1827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026076500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.