Mary C Dek, MD
Individual provider Active NPI Pediatrics Physician · Elkhorn, NE
NPI 1124187984 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1124187984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 21199 (NE)
- Practice address
- 18018 Burke Street
Elkhorn, NE 68022-4417 - Phone
- (402) 573-7337
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pointe Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Village Pointe Pediatrics, PC | Pediatrics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21119 | NE | |
| Pediatrics Physician | 208000000X | 21199 | NE | Yes |
Addresses
Primary practice location
18018 Burke Street
Elkhorn, NE 68022-4417
Mailing address
16811 Burke Street
Ste 101
Omaha, NE 68118
Phone (402) 573-7337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200591 | Medicaid | NE | |
| 1200408 | Medicaid | NE | |
| 1201454 | Medicaid | NE | |
| 24985 | Other | NE | MIDLANDS CHOICE |
| 34043 | Other | NE | BCBS OF NEBRASKA |
| 1200590 | Medicaid | NE | |
| 1200592 | Medicaid | NE | |
| 0538579 | Medicaid | IA | |
| 1200405 | Medicaid | NE | |
| 1538579 | Medicaid | IA | |
| 1201173 | Medicaid | NE |
Other names
- Dr. Mary C McGill
Other providers in Elkhorn, NE
- Jordan N Davis
- Kathryn Mae Dawson
- Lisa Ann Debban
- Lyndsey G Degenhardt
- Ahamide Wilfrid Degila
- Michael Anthony Del Core
- Dakota D Delgado
- Heather L Dempsey
- Kenneth Dempsey
- Dena Stemm Counseling
All providers in Elkhorn, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.