Active NPI
Laura E Routh, PA-C
- Physician Assistant
- Omaha, NE
National Provider Identifier
1366686552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1036
- Practice address
- 8200 Dodge Street
Children'S Hospital & Medical Center - Neurology
Omaha, NE 68114-4113 - Phone
- (402) 955-5372
- Fax
- (402) 955-5380
- NPI assigned
- May 1, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1036 | NE | Primary |
Addresses
Primary practice location
8200 Dodge Street
Children'S Hospital & Medical Center - Neurology
Omaha, NE 68114-4113
Mailing address
8200 Dodge Street
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400
Other names 1
- Laura E Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1036 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Surgical Specialists, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Omaha, NE
- NPI 1699730663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1366686552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE STREET",
"address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER - NEUROLOGY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5372",
"fax_number": "402-955-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUTH",
"first_name": "LAURA",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "CAMPBELL",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.