Active NPI
Heart Services LLC
- Cardiovascular Disease Physician
- Omaha, NE
National Provider Identifier
1376860155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HEART SERVICES LLC
- Practice address
- 1120 North 103Rd Plaza
Suite 100
Omaha, NE 68114-1119 - Phone
- (402) 391-5055
- NPI assigned
- May 3, 2010
- 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
- Mr. Brad L. Hansen
- Title
- Chief Operating Officer
- Phone
- (402) 354-3778
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1120 North 103Rd Plaza
Suite 100
Omaha, NE 68114-1119
Mailing address
8601 W Dodge Rd
Suite 216
Omaha, NE 68114-3495
Phone (402) 354-4822
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
16909 Lakeside Hills Ct
Ste 410
Omaha, NE 68130
Phone (402) 483-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1376860155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 W DODGE RD",
"address_2": "SUITE 216",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143495",
"telephone_number": "402-354-4822",
"fax_number": "402-354-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 NORTH 103RD PLAZA",
"address_2": "SUITE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141119",
"telephone_number": "402-391-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-03",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "402-354-3778",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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 Dec 21, 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.