Active NPI
David John Jaskierny Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 18834
- Practice address
- 4840 F St
Omaha, NE 68117-1407 - Phone
- (402) 731-4145
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 18834 | NE | Primary |
Addresses
Primary practice location
4840 F St
Omaha, NE 68117-1407
Mailing address
4840 F St
Omaha, NE 68117-1407
Phone (402) 731-4145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36275 | Other | IA | LICENSE |
| 18834 | Other | NE | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Nebraska College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Center PC
Practice addresses (Care Compare)
10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3226
3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014
Hospital & facility affiliations
- St Lukes Regional Medical Center
- Floyd Valley Healthcare
- Orange City Area Health System
- Cherokee Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18834 | NE | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Urology Center PC | Current | Accepting new patients | |
| Pathology Medical Services of Siouxland PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Adult & Pediatric Urology, PC | Current | Accepting new patients | |
| Urology Center, PC | Current | Accepting new patients | |
| Urology Center PC | Current | Accepting new patients |
Locations
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014
701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311
400 Central Ave NW
Orange City, IA 51041
Phone (712) 737-4984
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178
10707 Pacific St
Ste 101
Omaha, NE 68114
10707 Pacific St
Ste 100
Omaha, NE 68114
Phone (402) 399-7817
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
Interoperability endpoints
- https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
- djaskierny1018381@direct.unitypoint.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Glen Haven Village | Skilled nursing facility | Corporate Officer (100%) | Sep 1, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Sioux City, IA
- NPI 1255393427
-
- Urology Physician
- Omaha, NE
- NPI 1356387831
-
- Urology Physician
- Omaha, NE
- NPI 1114919875
-
- Urology Physician
- Red Oak, IA
- NPI 1053488395
-
- Durable Medical Equipment & Medical Supplies
- Fremont, NE
- NPI 1851126643
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205913126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171407",
"telephone_number": "402-731-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171407",
"telephone_number": "402-731-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKIERNY",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "18834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "36275",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18834",
"state": "NE"
}
],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.