Active NPI
Greater Omaha Anesthesia LLC
- Anesthesiology Physician
- Omaha, NE
National Provider Identifier
1356076558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- GREATER OMAHA ANESTHESIA LLC
- Practice address
- 10782 V St
Omaha, NE 68127-2952 - Phone
- (402) 504-9747
- Fax
- (402) 991-6766
- NPI assigned
- Jul 21, 2022
- 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
- Tina Arndt
- Title
- Manager
- Phone
- (402) 504-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
10782 V St
Omaha, NE 68127-2952
Mailing address
10782 V St
Omaha, NE 68127-2952
Phone (402) 504-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220916002001 | NE | Part B Supplier - Clinic/Group Practice | 0840675583 |
Receives reassigned benefits from 4 practitioners Practice locations: Omaha, NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Omaha, NE
- NPI 1467474643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1356076558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10782 V ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681272952",
"telephone_number": "402-504-9747",
"fax_number": "402-991-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10782 V ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681272952",
"telephone_number": "402-504-9747",
"fax_number": "402-991-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER OMAHA ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "ARNDT",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "402-504-9747"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 26, 2022; 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.