Organization Active NPI

Medical Oncology and Hematology PC

  • Hematology & Oncology Physician
  • Omaha, NE
National Provider Identifier
1386754943
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20832 Issued in NE
Legal business name
MEDICAL ONCOLOGY AND HEMATOLOGY PC
Practice address
4242 Farnam St
Ste 590
Omaha, NE 68131-2806
Phone
(402) 552-9800
Fax
(402) 552-9898
NPI assigned
Aug 30, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Susan A Kambhu, M.D.NPI 1740254259
Title
M.D./President
Phone
(402) 552-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20832 NE Primary

Addresses

Primary practice location

4242 Farnam St
Ste 590
Omaha, NE 68131-2806

Mailing address

4242 Farnam St
Ste 590
Omaha, NE 68131-2806
Phone (402) 552-9800

Other identifiers 3

IdentifierTypeStateIssuer
10025280000MedicaidNE
502181506MedicaidMO
4260497MedicaidIA

National Provider Directory

National Provider Directory

Locations

2510 Bellevue Medical Center Dr
Ste 145
Bellevue, NE 68123
Phone (402) 399-8550

4242 Farnam St
Ste 460
Omaha, NE 68131
Phone (402) 552-9800

4242 Farnam St
Ste 590
Omaha, NE 68131
Phone (402) 552-9800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1386754943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "STE 590",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-9800",
            "fax_number": "402-552-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "STE 590",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-9800",
            "fax_number": "402-552-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY AND HEMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KAMBHU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "402-552-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "20832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025280000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502181506",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4260497",
            "state": "IA"
        }
    ],
    "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 Jun 16, 2008; 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.