Active NPI
Juan Juarez Jr., MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- L4479
- Practice address
- 8200 Dodge St
Omaha, NE 68114 - Phone
- (402) 955-5150
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | L4479 | TX | Primary |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114
Mailing address
8200 Dodge St
Omaha, NE 68114-4113
Phone (402) 955-8744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153529602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Pediatric Emergency Medicine | Current | Accepting new patients |
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Texas Children'S Physician Group | Past | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1568597649
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1346200292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-8744",
"fax_number": "402-955-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-955-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "JUAN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "L4479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153529602",
"state": "TX"
}
],
"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 Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.