Organization Active NPI

Stephen P Adley Anesthesia PC

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1639227150
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11235 Issued in NE
Legal business name
STEPHEN P ADLEY ANESTHESIA PC
Practice address
8051 W Center Rd
Omaha, NE 68124-3151
Phone
(402) 391-3333
Fax
(402) 391-8593
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Ms. Carol A Schrum
Title
Office MGR
Phone
(402) 391-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 11235 NE Primary

Addresses

Primary practice location

8051 W Center Rd
Omaha, NE 68124-3151

Mailing address

8051 W Center Rd
Omaha, NE 68124-3151
Phone (402) 391-3333

Other identifiers 1

IdentifierTypeStateIssuer
47061760713MedicaidNE

National Provider Directory

National Provider Directory

Locations

11440 W Center Rd
Ste B
Omaha, NE 68144

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1639227150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243151",
            "telephone_number": "402-391-3333",
            "fax_number": "402-391-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243151",
            "telephone_number": "402-391-3333",
            "fax_number": "402-391-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P ADLEY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SCHRUM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "402-391-3333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "11235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061760713",
            "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 25, 2008; 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.