Active NPI
Omaha Anesthesia Associates LLC
- Anesthesiology Physician
- Omaha, NE
National Provider Identifier
1255934501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- OMAHA ANESTHESIA ASSOCIATES LLC
- Practice address
- 16901 Lakeside Hills CT
Omaha, NE 68130-2318 - Phone
- (877) 328-1119
- NPI assigned
- Nov 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (877) 328-1119
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Mailing address
PO Box 745938
Atlanta, GA 30374-5938
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1255934501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745938",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 LAKESIDE HILLS CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302318",
"telephone_number": "877-328-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMAHA ANESTHESIA ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "877-328-1119"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 May 5, 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.