NPIMap

Organization Active NPI

Joshua Medical Center

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1639195282
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
710 Issued in NE
Legal business name
JOSHUA MEDICAL CENTER
Practice address
2429 M St
Omaha, NE 68107-2715
Phone
(402) 731-7333
Fax
(402) 614-5405
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. David E Kershner, PA-CNPI 1144304429
Title
Ceo
Phone
(402) 330-7403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 710 NE Primary

Addresses

Primary practice location

2429 M St
Omaha, NE 68107-2715

Mailing address

2429 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

National Provider Directory

National Provider Directory

Locations

2429 M St
Omaha, NE 68107
Phone (402) 731-7333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25093/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1639195282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-330-7403",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "710",
            "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 19, 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.