Bellevue Obstetrics and Gynecology Associates PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BELLEVUE OBSTETRICS AND GYNECOLOGY ASSOCIATES PC

Practice address

11507 S 42ND St
Suite 109
Bellevue, NE 68123-6122

Phone

(402) 734-4106

Fax

(402) 734-0366

NPI assigned

Jun 15, 2006

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Woods, M.D.

Title

Owner

Phone

(402) 734-4106

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Michelle M Berlin, P.A.C.

  • Physician Assistant
  • Bellevue, NE
  • NPI 1700099736
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1245274802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 S 42ND ST",
            "address_2": "SUITE 109",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236122",
            "telephone_number": "402-734-4106",
            "fax_number": "402-734-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 S 42ND ST",
            "address_2": "SUITE 109",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236122",
            "telephone_number": "402-734-4106",
            "fax_number": "402-734-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE OBSTETRICS AND GYNECOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-734-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DG5144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059832",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bellevue Medical Center LLC (Bellevue Medical Center - Nebraska Medicine)
• Bellevue Operating Company LLC
• Bellevue Optical Inc.
• Bellevue Oral and Maxillofacial Surgery
• Bellevue Pediatric Center PC
• Bellevue Physical Therapy, LLC (Bellevue Physical Therapy)

• Obstetrics & Gynecology Physician in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.