NPIMap

Organization Active NPI

Omaha Family Medicine, P.C.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1508053943
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20625 Issued in NE
Legal business name
OMAHA FAMILY MEDICINE, P.C.
Practice address
17841 Pierce PLZ
Omaha, NE 68130
Phone
(402) 991-7000
Fax
(402) 991-7999
NPI assigned
Oct 1, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Charles H. Stoner Jr., M.D.NPI 1538229711
Title
President
Phone
(402) 991-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20625 NE Primary

Addresses

Primary practice location

17841 Pierce PLZ
Omaha, NE 68130

Mailing address

17841 Pierce PLZ
Omaha, NE 68130
Phone (402) 991-7000

Other identifiers 3

IdentifierTypeStateIssuer
10024979400MedicaidNE
100249794001MedicaidNE
2801010835OtherNECLIA

Other names 1

  • Charles Stoner, M.D. Family Practice Former legal business name

National Provider Directory

National Provider Directory

Locations

17841 Pierce Plz
Omaha, NE 68130
Phone (402) 991-7000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508053943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17841 PIERCE PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-991-7000",
            "fax_number": "402-991-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17841 PIERCE PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-991-7000",
            "fax_number": "402-991-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-991-7000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024979400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249794001",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "2801010835",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Stoner, M.D. Family Practice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.