NPIMap

Organization Active NPI

Emergency Physicians of Eastern Nebraska, PC

  • Emergency Medicine Physician
  • Bellevue, NE
National Provider Identifier
1366774416
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21078 Issued in NE
Legal business name
EMERGENCY PHYSICIANS OF EASTERN NEBRASKA, PC
Practice address
2500 Bellevue Center Drive
Emergency Department
Bellevue, NE 68132
Phone
(402) 763-3644
NPI assigned
Jan 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Authorized official

Name
Thomas Cheatle, M.D.
Title
President
Phone
(402) 616-1083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 21078 NE Primary

Addresses

Primary practice location

2500 Bellevue Center Drive
Emergency Department
Bellevue, NE 68132

Mailing address

4239 Farnam St
Suite 326
Omaha, NE 68131-2868
Phone (402) 552-3377

Other identifiers 1

IdentifierTypeStateIssuer
21078OtherNEMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

4239 Farnam St
Ste 326
Omaha, NE 68131

Practitioners & affiliated clinicians

Practitioners 12

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": "1264896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1366774416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST",
            "address_2": "SUITE 326",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312868",
            "telephone_number": "402-552-3377",
            "fax_number": "402-552-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLEVUE CENTER DRIVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68132",
            "telephone_number": "402-763-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS OF EASTERN NEBRASKA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "CHEATLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-616-1083",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "21078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21078",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; 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.