Active NPI
Dwight James Bollinger, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
National Provider Identifier
1437226826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 17841
- Practice address
- 4840 F St
Omaha, NE 68117-1407 - Phone
- (402) 731-4145
- Fax
- (402) 731-8653
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17841 | NE | Primary |
Addresses
Primary practice location
4840 F St
Omaha, NE 68117-1407
Mailing address
10251 Washington Dr
Omaha, NE 68127-4523
Phone (402) 593-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17841 | NE | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Specialties, P.C. | Current | Accepting new patients | |
| Midwest Gastrointestinal Associates PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Lincoln Digestive Health Center LLC | Past | Accepting new patients |
Locations
4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545
Interoperability endpoints
- https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lincoln, NE
- NPI 1083747380
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1548710775
-
dba Midwest Gastrointestinal Associates
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437226826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10251 WASHINGTON DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681274523",
"telephone_number": "402-593-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 F ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171407",
"telephone_number": "402-731-4145",
"fax_number": "402-731-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "DWIGHT",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "17841",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.