Organization Active NPI

Heartland Osteopathic Medicine

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
National Provider Identifier
1558631671
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
687 Issued in NE
Legal business name
HEARTLAND OSTEOPATHIC MEDICINE
Practice address
2501 S 102ND St
Omaha, NE 68124-1805
Phone
(402) 599-9231
NPI assigned
Jan 5, 2012
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Clayton Hoberman, DO
Title
Owner
Phone
(402) 599-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 687 NE Primary

Addresses

Primary practice location

2501 S 102ND St
Omaha, NE 68124-1805

Mailing address

2501 S 102ND St
Omaha, NE 68124-1805
Phone (402) 599-9231

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1558631671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S 102ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241805",
            "telephone_number": "402-599-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S 102ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241805",
            "telephone_number": "402-599-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OSTEOPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "HOBERMAN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-599-9231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "687",
            "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 Jan 5, 2012; 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.