Family Medicine Associates Millard-Gretna, P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE ASSOCIATES MILLARD-GRETNA, P C

Practice address

17241 Oak Drive
Suite 101
Omaha, NE 68130-2202

Phone

(402) 896-1242

Fax

(402) 896-8948

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Marie A Savine

Title

Practice Manager

Phone

(402) 896-1242

Specialties & licenses 1

Addresses

Other names 1

• Family Medicine Associates Millard Gretna PC Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: records@fma.fehrdirect.com

Practitioners 5

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

• J Paul Cook, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1780659367
  Medicare reassignment Care Compare group NPD
• Marti Kennedy, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1942162847
  Medicare reassignment Care Compare group NPD
• Emily Anna Gofta

  • Medical Physician Assistant
  • Omaha, NE
  • NPI 1801403209
  Medicare reassignment Care Compare group
• Noah Riley Springer, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1548031818
  Medicare reassignment Care Compare group
• Johnathan Lawrence Colling, M.D.

  • Emergency Medicine Physician
  • Sioux City, IA
  • NPI 1598788416

  NE

  Medicare reassignment NPD

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1679547491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17241 OAK DRIVE",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302202",
            "telephone_number": "402-896-1242",
            "fax_number": "402-896-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17241 OAK DRIVE",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302202",
            "telephone_number": "402-896-1242",
            "fax_number": "402-896-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES MILLARD-GRETNA, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SAVINE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "402-896-1242"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@fma.fehrdirect.com",
            "affiliation": "N",
            "address_1": "17241 Oak Drive",
            "address_2": "Suite 101",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681302202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@fma.fehrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17241 Oak Drive",
            "address_2": "Suite 101",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681302202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates Millard Gretna PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.