Organization Active NPI

Physicians Clinic Inc

Doing business as Methodist Physicians Clinic

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
National Provider Identifier
1346645942
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHYSICIANS CLINIC INC
Doing business as
Methodist Physicians Clinic
Practice address
8005 Farnam Dr
Ste 303
Omaha, NE 68114-3426
Phone
(402) 354-9070
Fax
(402) 354-9075
NPI assigned
Oct 27, 2014
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Todd D Grages
Title
President
Phone
(402) 354-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

8005 Farnam Dr
Ste 303
Omaha, NE 68114-3426

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other names 1

  • Methodist Physicians Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
John J Hoesing MD

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1346645942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 FARNAM DR",
            "address_2": "STE 303",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143426",
            "telephone_number": "402-354-9070",
            "fax_number": "402-354-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS CLINIC INC",
        "enumeration_date": "2014-10-27",
        "last_updated": "2015-03-27",
        "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": "402-354-5609"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2015; 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.