Organization Active NPI

Phca LLC

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1679903496
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHCA LLC
Practice address
12305 Gold Street
Omaha, NE 68144-2760
Phone
(402) 330-1176
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Kevin J Meuret
Title
Ceo/Owner
Phone
(636) 600-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12305 Gold Street
Omaha, NE 68144-2760

Mailing address

12305 Gold Street
Omaha, NE 68144-2760
Phone (402) 330-1176

National Provider Directory

National Provider Directory

Locations

11704 W Center Rd
Ste 103B
Omaha, NE 68144
Phone (314) 254-2420

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1679903496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 GOLD STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442760",
            "telephone_number": "402-330-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 GOLD STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442760",
            "telephone_number": "402-330-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "MEURET",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "636-600-1137"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Nov 14, 2013; 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.