Capital City Pediatrics, LLC

Organization Active NPI Pediatrics Physician · Lincoln, NE

NPI 1457576464 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1457576464
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
16292 (NE)
Legal business name
CAPITAL CITY PEDIATRICS, LLC
Practice address
7441 O St
Suite 303
Lincoln, NE 68510-2468
Phone
(402) 483-6036
Fax
(402) 483-6294
NPI assigned
Apr 16, 2007
Organization subpart
No

Authorized official

Name
Stacie R Bleicher, M.D.
Title
Physician
Phone
(402) 483-6036

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Capital City Pediatrics LLC (2 organizations share this tax ID)

Locations

7441 O St
Ste 303
Lincoln, NE 68510
Phone (402) 483-6036

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X 16292 NE Yes

Addresses

Primary practice location

7441 O St
Suite 303
Lincoln, NE 68510-2468

Mailing address

7441 O St
Suite 303
Lincoln, NE 68510-2468
Phone (402) 483-6036

Other providers in Lincoln, NE

All providers in Lincoln, NE · Pediatrics Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.