Cecilia Anania Backstrom, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1294 Issued in NE

Practice address

6901 N 72ND St
Suite 2244
Omaha, NE 68122-1709

Phone

(402) 572-3535

Fax

(402) 572-2688

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Family First Health Care-Yale, PLLC

  • Family Medicine Physician
  • Lexington, MI
  • NPI 1790139475
  NPD
• John J Ferry MD PC

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1134120165
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1366424863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641850",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647850",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "SUITE 2244",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-3535",
            "fax_number": "402-572-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANIA BACKSTROM",
        "first_name": "CECILIA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00317",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1294",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "1875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100342400A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Simons Therapy
• Sang Hee An, MD
• Jean Yvon Anacius
• Wilmide Anacius
• Yvemide Anacius
• Traci Anania Sullivan
• Snegha Ananth, MBBS
• Peter Anaradian, M.D.
• Stephanie Anasi, OTD, OTR/L
• Panayiota Anastasiou, PHARMD

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.

Verify at the official NPI Registry.