Organization Active NPI

NMG LLC

Doing business as Norfolk Medical Group

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1194243410
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NMG LLC
Doing business as
Norfolk Medical Group
Practice address
301 N 27TH St Ste 1
Norfolk, NE 68701-4457
Phone
(402) 844-8000
Fax
(402) 844-8045
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gina Marie Glaser
Title
Supervisor of Him
Phone
(402) 844-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

301 N 27TH St Ste 1
Norfolk, NE 68701-4457

Mailing address

301 N 27TH St Ste 1
Norfolk, NE 68701-4457
Phone (402) 844-8000

Other identifiers 1

IdentifierTypeStateIssuer
2017OtherNEBLUE CROSS BLUE SHIELD

Other names 1

  • Norfolk Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NMG LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 N 27th St
Ste 1
Norfolk, NE 68701
Phone (402) 844-8000

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194243410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST STE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST STE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUPERVISOR OF HIM",
        "authorized_official_telephone_number": "402-844-8020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2017",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.