Active NPI
Gary L Rademacher, MD
- Family Medicine Physician
- Nebraska City, NE
National Provider Identifier
1093727414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12548
- Practice address
- 1700 14TH Ave
Nebraska City, NE 68410-1146 - Phone
- (402) 873-4242
- Fax
- (402) 873-4227
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12548 | NE | Primary |
Addresses
Primary practice location
1700 14TH Ave
Nebraska City, NE 68410-1146
Mailing address
8055 O St
Ste 300
Lincoln, NE 68510-2580
Phone (402) 421-0896
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4355 | Other | NE | MIDLAND'S CHOICE |
| 10025323000 | Medicaid | NE | |
| 00805 | Other | NE | BCBS |
| 3958447 | Medicaid | IA | |
| 01-06556 | Other | NE | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physician Network LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1093727414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102580",
"telephone_number": "402-421-0896",
"fax_number": "402-421-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 14TH AVE",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684101146",
"telephone_number": "402-873-4242",
"fax_number": "402-873-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEMACHER",
"first_name": "GARY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "12548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "4355",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025323000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00805",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3958447",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "01-06556",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.