Active NPI
Kevin Ray Emge, D.O.
- Anesthesiology Physician
- Omaha, NE
National Provider Identifier
1144341785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5141
- Practice address
- 984455 Nebraska Medical Ctr
Omaha, NE 68198-4455 - Phone
- (402) 559-7405
- Fax
- (402) 559-7372
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5141 | NE | Primary |
Addresses
Primary practice location
984455 Nebraska Medical Ctr
Omaha, NE 68198-4455
Mailing address
8704 Harney St
Omaha, NE 68114-4008
Phone (402) 991-0336
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02228 | IA | MD | Optometrist |
| 5141 | NE | MD | Anesthesiology Physician |
| 2228 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144341785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 HARNEY ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144008",
"telephone_number": "402-991-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984455 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681984455",
"telephone_number": "402-559-7405",
"fax_number": "402-559-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMGE",
"first_name": "KEVIN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "5141",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.