Active NPI
Thomas William Homan, PA-C
- Physician Assistant
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 756
- Practice address
- 20 Power Dr Ste 5
Council Bluffs, IA 51501-7701 - Phone
- (712) 309-3023
- NPI assigned
- Oct 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 756 | NE | Primary |
| Physician Assistant | 363A00000X | 107710 | IA |
Addresses
Primary practice location
20 Power Dr Ste 5
Council Bluffs, IA 51501-7701
Mailing address
1610 Watson St
Fremont, NE 68025-2093
Phone (402) 721-0773
Other practice location 1
220 E 22nd St
Fremont, NE 68025-2093
Phone (402) 727-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
101 E Centennial Rd
Physicians Clinic Papillion
Papillion, NE 68046-2079
Phone (402) 354-7750
11946 Standing Stone Dr
Gretna, NE 68028-8094
Phone (402) 815-4500
1240 E 23Rd St
MPC Urgent Care Fremont
Fremont, NE 68025-2411
Phone (402) 815-7100
4932 S 202ND Ave
MPC North Streams
Omaha, NE 68135-3927
Phone (402) 815-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756 | NE | MD | Social Worker |
| 107710 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Physician Assistant | Current | Accepting new patients |
| LMMC LLC | Past | Accepting new patients | |
| LMMC Sioux Falls, LLC | Past | Accepting new patients | |
| LMMC Council Bluffs LLLP | Past | Accepting new patients | |
| LMMC Lincoln, LLC | Past | Accepting new patients |
Locations
808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340
415 E 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-8960
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
Interoperability endpoints
- thomas.homan@direct.nmhs.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fremont, NE
- NPI 1235618216
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Practice Physician
- Council Bluffs, IA
- NPI 1861951568
-
- General Practice Physician
- Lincoln, NE
- NPI 1194202358
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1033565098
-
- General Practice Physician
- Sioux Falls, SD
- NPI 1396383329
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1457447013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 WATSON ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252093",
"telephone_number": "402-721-0773",
"fax_number": "402-727-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 POWER DR STE 5",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515017701",
"telephone_number": "712-309-3023"
}
],
"practiceLocations": [
{
"address_1": "220 E 22nd St",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "NE",
"postal_code": "680252093",
"country_code": "US",
"telephone_number": "402-727-5500",
"fax_number": "402-727-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMAN",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "756",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "107710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.