Northrup Internal Medicine and Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHRUP INTERNAL MEDICINE AND PRIMARY CARE LLC

Practice address

4701 Normal Blvd
Lincoln, NE 68506-5563

Phone

(402) 484-5656

Fax

(402) 484-5741

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

David L Cory

Title

Clinic Director Office Manager

Phone

(402) 484-5656

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1417015058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065563",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065563",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRUP INTERNAL MEDICINE AND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "CORY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR OFFICE MANAGER",
        "authorized_official_telephone_number": "402-484-5656"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.