NPIMap

Organization Active NPI

Simonmed Imaging Nebraska LLC

  • Clinic/Center
  • Omaha, NE
National Provider Identifier
1174809982
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIMONMED IMAGING NEBRASKA LLC
Practice address
310 Regency Pkwy
Ste 125
Omaha, NE 68114-3791
Phone
(402) 255-2700
Fax
(402) 255-2701
NPI assigned
Oct 25, 2011
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Howard John Simon, MD
Title
President
Phone
(602) 809-6623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Specialist 174400000X NU

Addresses

Primary practice location

310 Regency Pkwy
Ste 125
Omaha, NE 68114-3791

Mailing address

PO Box 203545
Dallas, TX 75320-3545
Phone (888) 685-3913

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1174809982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203545",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753203545",
            "telephone_number": "888-685-3913",
            "fax_number": "800-508-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 REGENCY PKWY",
            "address_2": "STE 125",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143791",
            "telephone_number": "402-255-2700",
            "fax_number": "402-255-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONMED IMAGING NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-809-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.