Organization Active NPI

Papillion Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Papillion, NE
National Provider Identifier
1346822178
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PAPILLION EMERGENCY PHYSICIANS, PLLC
Practice address
529 Pinnacle Dr
Papillion, NE 68046-6242
Phone
(512) 686-5351
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Susie Williamson
Title
VP of Operations and Finance
Phone
(512) 686-5351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

529 Pinnacle Dr
Papillion, NE 68046-6242

Mailing address

1464 E Whitestone Blvd Ste 1101
Cedar Park, TX 78613-9070
Phone (512) 686-5351

National Provider Directory

National Provider Directory

Locations

529 Pinnacle Dr
Papillion, NE 68046
Phone (402) 268-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1346822178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139070",
            "telephone_number": "512-686-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PINNACLE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466242",
            "telephone_number": "512-686-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION EMERGENCY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS AND FINANCE",
        "authorized_official_telephone_number": "512-686-5351"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.