Organization Active NPI

Heartland OB/GYN LLC

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1225348212
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEARTLAND OB/GYN LLC
Practice address
4951 Center St
#206
Omaha, NE 68106-3251
Phone
(402) 933-7247
Fax
(402) 933-7196
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Lylia M Fahmy, MD
Title
President
Phone
(402) 933-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4951 Center St
#206
Omaha, NE 68106-3251

Mailing address

4951 Center St
#206
Omaha, NE 68106-3251
Phone (402) 933-7247

Other identifiers 1

IdentifierTypeStateIssuer
10025907600MedicaidNE

National Provider Directory

National Provider Directory

Locations

4951 Center St
Ste 206
Omaha, NE 68106
Phone (402) 393-3724

42nd Dewey Ave
Omaha, NE 68198

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1225348212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "address_2": "#206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063251",
            "telephone_number": "402-933-7247",
            "fax_number": "402-933-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "address_2": "#206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063251",
            "telephone_number": "402-933-7247",
            "fax_number": "402-933-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OB/GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "LYLIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-933-7274",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025907600",
            "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 Jan 20, 2011; 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.