Organization Active NPI

McTaggart OB-GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1265513857
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18286 Issued in NE
Legal business name
MCTAGGART OB-GYN, P.C.
Practice address
1910 S 72ND St
Suite 206
Omaha, NE 68124-1743
Phone
(402) 614-2233
Fax
(402) 397-5925
NPI assigned
Oct 18, 2006
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Jill C McTaggart, M.D.NPI 1932164993
Title
President/Owner
Phone
(402) 614-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18286 NE Primary

Addresses

Primary practice location

1910 S 72ND St
Suite 206
Omaha, NE 68124-1743

Mailing address

1910 S 72ND St
Suite 206
Omaha, NE 68124-1743
Phone (402) 614-2233

Other identifiers 1

IdentifierTypeStateIssuer
10024951000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000064 NE Part B Supplier - Clinic/Group Practice 7113942368 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

1910 S 72nd St
Ste 206
Omaha, NE 68124
Phone (402) 614-2233

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1265513857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S 72ND ST",
            "address_2": "SUITE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241743",
            "telephone_number": "402-614-2233",
            "fax_number": "402-397-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S 72ND ST",
            "address_2": "SUITE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241743",
            "telephone_number": "402-614-2233",
            "fax_number": "402-397-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCTAGGART OB-GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "MCTAGGART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-614-2233",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "18286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024951000",
            "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 Oct 21, 2011; 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.