Individual provider Active NPI

Paul S Christy, MD

  • Vascular & Interventional Radiology Physician
  • Omaha, NE
National Provider Identifier
1639283096
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
20019 Issued in NE
Practice address
7831 Wakeley Plaza
Omaha, NE 68114
Phone
(402) 397-6344
Fax
(402) 397-6407
NPI assigned
Aug 19, 2006
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20019 NE
Vascular & Interventional Radiology Physician 2085R0204X 20019 NE Primary

Addresses

Primary practice location

7831 Wakeley Plaza
Omaha, NE 68114

Mailing address

7831 Wakeley Plaza
Omaha, NE 68114
Phone (402) 397-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000315 NE Practitioner - Interventional Radiology 3476728882 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20019NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Feb 20, 2023 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Feb 20, 2023 Accepting new patients
Omaha Orthopedic Clinic & Sports Medicine PC CurrentSince Jan 1, 2023 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

11704 W Center Rd
Ste 200
Omaha, NE 68144
Phone (402) 691-0500

11704 W Center Rd
Ste 210
Omaha, NE 68144
Phone (402) 330-2727

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1639283096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-397-6344",
            "fax_number": "402-397-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-397-6344",
            "fax_number": "402-397-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20019",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.