Active NPI
Ferdinand Matanaj, M.D.
- Neurological Surgery Physician
- Omaha, NE
National Provider Identifier
1548596380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25430
- Practice address
- 601 N 30TH St
Suite 3700
Omaha, NE 68131-2137 - Phone
- (402) 280-4497
- Fax
- (402) 280-4478
- NPI assigned
- Oct 29, 2009
- Last updated
- Oct 29, 2009
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 25430 | NE | Primary |
Addresses
Primary practice location
601 N 30TH St
Suite 3700
Omaha, NE 68131-2137
Mailing address
601 N 30TH St
Suite 3700
Omaha, NE 68131-2137
Phone (402) 280-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25430 | NE | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients |
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.
-
dba Creighton Medical Associates
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1548596380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"address_2": "SUITE 3700",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-280-4497",
"fax_number": "402-280-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"address_2": "SUITE 3700",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-280-4497",
"fax_number": "402-280-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATANAJ",
"first_name": "FERDINAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NE",
"license": "25430",
"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 Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.