Active NPI
Gordon L Emry, M.D.
- Family Medicine Physician
- Norfolk, NE
National Provider Identifier
1235155607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NE17175
- Practice address
- 2024 W Pasewalk Ave
Norfolk, NE 68701-4629 - Phone
- (402) 844-3830
- NPI assigned
- Jul 15, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NE17175 | NE | Primary |
Addresses
Primary practice location
2024 W Pasewalk Ave
Norfolk, NE 68701-4629
Mailing address
1604 Troon St
Norfolk, NE 68701-3377
Phone (402) 347-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE17175 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Omaha Maple LLC | Past | Accepting new patients | |
| Cozad Community Hospital | Family Medicine | Past | Accepting new patients |
| Nuwest Medical Clinic, L.L.C | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15917/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1962927921
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1134327687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1235155607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 TROON ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013377",
"telephone_number": "402-347-1441",
"fax_number": "402-347-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 W PASEWALK AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687014629",
"telephone_number": "402-844-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMRY",
"first_name": "GORDON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2023-10-18",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "NE17175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.