Individual provider Active NPI

Alan M Parks, DO

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1467667345
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
676 Issued in NE
Practice address
16909 Lakeside Hills CT
Suite 300
Omaha, NE 68130-4664
Phone
(402) 827-4920
NPI assigned
May 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58.001557 OH
Surgery Physician 208600000X 676 NE Primary

Addresses

Primary practice location

16909 Lakeside Hills CT
Suite 300
Omaha, NE 68130-4664

Mailing address

PO Box 642117
Omaha, NE 68164-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090805000344 NE Practitioner - General Surgery 3476606625 Reassigns benefits to 1 organization
I20100902000059 IA Practitioner - General Surgery 3476606625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

11111 S 84TH St
Papillion, NE 68046-4122
Phone (402) 898-2520

16909 Lakeside Hills CT
Omaha, NE 68130-4661

800 Mercy Dr
Suite 220
Council Bluffs, IA 51503-3128
Phone (712) 388-2660

Hospital & facility affiliations

  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58.001557OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Aug 1, 2009 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 1, 2009 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Current Accepting new patients
Alegent Creighton Clinic CurrentSince Jul 12, 2010 Accepting new patients

Locations

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

601 Rosary Dr
Corning, IA 50841
Phone (641) 322-5245

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

210 S Main St
Lenox, IA 50851
Phone (641) 333-2266

2771 Solution Ctr
Chicago, IL 60677

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

2559 37th Ave
Columbus, NE 68601
Phone (402) 562-7133

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

16909 Lakeside Hills Ct
Ste 300
Omaha, NE 68130
Phone (402) 758-5400

11109 S 84th St
Ste 1820
Papillion, NE 68046
Phone (402) 827-1577

Interoperability endpoints

  • Direct secure messaging: aparks8622@achce.catholichealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1467667345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304664",
            "telephone_number": "402-827-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ALAN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "58.001557",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.