NPIMap

Organization Active NPI

Meryl a Severson MD

  • Gynecology Physician
  • Omaha, NE
National Provider Identifier
1598849440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
19357 Issued in NE
Legal business name
MERYL A SEVERSON MD
Practice address
4610 Dodge St
Omaha, NE 68132-3234
Phone
(402) 306-8056
Fax
(402) 554-1805
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Beiriger, MBA
Title
VP Medical Services
Phone
(402) 554-1103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 19357 NE Primary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 24963 IA

Addresses

Primary practice location

4610 Dodge St
Omaha, NE 68132-3234

Mailing address

4610 Dodge St
Omaha, NE 68132-3234
Phone (402) 306-8056

Other identifiers 3

IdentifierTypeStateIssuer
0228676MedicaidIA
20 50893401MedicaidKS
47-151703903MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598849440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323234",
            "telephone_number": "402-306-8056",
            "fax_number": "402-554-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323234",
            "telephone_number": "402-306-8056",
            "fax_number": "402-554-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERYL A SEVERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEIRIGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VP MEDICAL SERVICES",
        "authorized_official_telephone_number": "402-554-1103",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NE",
            "license": "19357",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IA",
            "license": "24963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228676",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20 50893401",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-151703903",
            "state": "NE"
        }
    ],
    "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 Aug 22, 2020; 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.