Active NPI
Laurence Alan Zacharia, MD
- Internal Medicine Physician
- Omaha, NE
National Provider Identifier
1417981275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11414
- Practice address
- 7823 Wakeley Plaza
Omaha, NE 68114-3651 - Phone
- (402) 393-7550
- Fax
- (402) 393-1017
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11414 | NE | Primary |
Addresses
Primary practice location
7823 Wakeley Plaza
Omaha, NE 68114-3651
Mailing address
7823 Wakeley Plaza
Omaha, NE 68114-3651
Phone (402) 393-7550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0581629 | Medicaid | IA | |
| 1022 | Other | NE | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James V Ortman M.D. 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Omaha, NE
- NPI 1407168313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417981275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7823 WAKELEY PLAZA",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143651",
"telephone_number": "402-393-7550",
"fax_number": "402-393-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7823 WAKELEY PLAZA",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143651",
"telephone_number": "402-393-7550",
"fax_number": "402-393-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIA",
"first_name": "LAURENCE",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "11414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0581629",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1022",
"state": "NE"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.