Physicians Clinic, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHYSICIANS CLINIC, INC.

Doing business as

Methodist Physicians Clinic

Practice address

8901 W Dodge Rd
Suite #100
Omaha, NE 68114-3327

Phone

(402) 354-1700

NPI assigned

Oct 16, 2006

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

NEBRASKA METHODIST HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. Todd D. Grages

Title

President

Phone

(402) 354-5601

Specialties & licenses 1

Addresses

Other names 1

• Methodist Physicians Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physicians Clinic, Inc.

  dba Methodist Physicians Clinic

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1790874790

  O20100930036737

  Same enrollment

Locations

Practitioners 1

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.

• Paige S Charleston, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Elkhorn, NE
  • NPI 1366555369
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1235229477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 WEST DODGE ROAD",
            "address_2": "SUITE # 216",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-354-4822",
            "fax_number": "402-354-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W DODGE RD",
            "address_2": "SUITE #100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143327",
            "telephone_number": "402-354-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEBRASKA METHODIST HEALTH SYSTEM",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "GRAGES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-354-5601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physicians Clinic Inc (Methodist Physicians Clinic)
• Physicians Clinic Inc
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Physicians Clinic, Inc. (Methodist Physicians Clinic)

• Durable Medical Equipment & Medical Supplies in Omaha, NE
• Providers in Omaha, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.