NPIMap

Organization Active NPI

Hematology & Oncology Consultants, PC

  • Hematology & Oncology Physician
  • Omaha, NE
National Provider Identifier
1073686812
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
15291 Issued in NE
Legal business name
HEMATOLOGY & ONCOLOGY CONSULTANTS, PC
Practice address
6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709
Phone
(402) 572-3535
Fax
(402) 572-2892
NPI assigned
Nov 17, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Ms. Carol Renee Murtaugh, RN
Title
Practice Administrator
Phone
(402) 572-3535

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1301 NE
Medical Physician Assistant 363AM0700X 1294 NE
Nurse Practitioner 363L00000X 110233 NE
Hematology & Oncology Physician 207RH0003X 22157 NE
Hematology & Oncology Physician 207RH0003X 13385 NE
Hematology & Oncology Physician 207RH0003X 15291 NE Primary
Hematology & Oncology Physician 207RH0003X 21140 NE
Hematology & Oncology Physician 207RH0003X 20876 NE
Radiation Oncology Physician 2085R0001X 17561 NE

Addresses

Primary practice location

6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709

Mailing address

PO Box 641850
Omaha, NE 68164-7850
Phone (402) 572-3535

Other identifiers 1

IdentifierTypeStateIssuer
0747394MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311001510 IA Part B Supplier - Clinic/Group Practice 2264321850 Receives reassigned benefits from 4 practitioners
Practice locations: Council Bluffs, IA
O20050303001027 NE Part B Supplier - Clinic/Group Practice 2264321850 Receives reassigned benefits from 11 practitioners
Practice locations: Columbus, NE; Omaha, NE; Norfolk, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

800 Mercy Dr
Ste 10
Council Bluffs, IA 51503
Phone (712) 388-2810

110 N 29th St
Ste 101
Norfolk, NE 68701
Phone (402) 644-7534

3901 W Norfolk Ave
Ste H
Norfolk, NE 68701
Phone (402) 644-4757

6901 N 72nd St
Ste 2244
Omaha, NE 68122
Phone (402) 572-3535

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1073686812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641850",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647850",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "SUITE 2244",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY & ONCOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "MURTAUGH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-572-3535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1301",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1294",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110233",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "22157",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "13385",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "15291",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "21140",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "20876",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NE",
            "license": "17561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747394",
            "state": "IA"
        }
    ],
    "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 Dec 2, 2011; 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.