NPIMap

Organization Active NPI

Nebraska Hematology-Oncology, PC

  • Hematology & Oncology Physician
  • Lincoln, NE
National Provider Identifier
1205915071
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NEBRASKA HEMATOLOGY-ONCOLOGY, PC
Practice address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone
(402) 484-4900
Fax
(402) 484-6456
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Eric AveryNPI 1093934598
Title
President
Phone
(402) 484-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X

Addresses

Primary practice location

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548

Mailing address

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Other practice location 1

3240 Folkways Blvd
Lincoln, NE 68504-1199
Phone (402) 904-7135

Other practice location 2

4001 Pioneer Woods Dr
Lincoln, NE 68506-7547
Phone (402) 484-4900

Other practice location 3

8001 Eiger Dr
Lincoln, NE 68516-6537
Phone (402) 904-7135

Other practice location 4

552 Sargent St
Beatrice, NE 68310-1201
Phone (402) 904-7135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000833 NE Part B Supplier - Clinic/Group Practice 9638083330 Receives reassigned benefits from 20 practitioners
Practice locations: Beatrice, NE; Lincoln, NE; Geneva, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

552 Sargent St
Beatrice, NE 68310
Phone (402) 904-7135

8001 Eiger Dr
Lincoln, NE 68516
Phone (402) 904-7135

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1205915071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Folkways Blvd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685041199",
            "country_code": "US",
            "telephone_number": "402-904-7135",
            "fax_number": "402-904-7175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Pioneer Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685067547",
            "country_code": "US",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 Eiger Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685166537",
            "country_code": "US",
            "telephone_number": "402-904-7135",
            "fax_number": "402-904-7175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "552 Sargent St",
            "address_purpose": "LOCATION",
            "city": "Beatrice",
            "state": "NE",
            "postal_code": "683101201",
            "country_code": "US",
            "telephone_number": "402-904-7135",
            "fax_number": "402-904-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEBRASKA HEMATOLOGY-ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-484-4900"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.