Nebraska Methodist Hospital
Organization Active NPI Emergency Medicine Physician · Omaha, NE
NPI 1689628372 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1689628372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NEBRASKA METHODIST HOSPITAL
- Practice address
- 8303 Dodge St
Omaha, NE 68114-4108 - Phone
- (402) 354-4000
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven L Goeser
- Title
- Executive Vice President & Coo
- Phone
- (402) 354-4449
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Practitioners 325
-
Peter A. Abasolo, M.D.
-
Jiri Biorn Bedrnicek, M.D.
-
Alison Marie Benson, M.D.
-
Alexa Leigh Berry, SLP
-
Jean Ann Beumler, APRN, FNP-BC
-
Robert G. Bonebrake, M.D.
-
Shelley C Booth, APRN-FNP-C
-
Ryan C Brown, PLMHP
-
Sean Robert Brozek, M.D.
-
Amanda Theresa Calleroz, M.D.
-
Robert Dylan Campbell, PLMHP
-
Abigail Kay Chase, APRN
-
Adam Stephen Chick, M.D.
-
Mark D Chouinard, MD
-
Brendan D Connealy, M.D.
-
Andrew M Coughlin, M.D.
-
Cassie Jo Cowles, APRN, ACNP
-
David R. Crotzer, M.D.
-
Carli A Culjat, PHD, MBA, APRN, FNP
-
Joshua D Dahlke, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NE, IA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Midwest Surgical Hospital LLC |
Hospital | 5% Or Greater Direct Ownership Interest (6.44%) | Oct 3, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000781 | NE | Part B Supplier - Clinic/Group Practice | 6901707447 |
Receives reassigned benefits from 256 practitioners 3 other NPIs on this enrollment Practice locations: Omaha, NE; Lincoln, NE; Elkhorn, NE; Fremont, NE; Columbus, NE |
| O20120814000159 | IA | Part B Supplier - Clinic/Group Practice | 6901707447 |
Receives reassigned benefits from 17 practitioners 2 other NPIs on this enrollment Practice locations: Council Bluffs, IA |
| O20160405000984 | IA | Part B Supplier - Clinic/Group Practice | 6901707447 |
Receives reassigned benefits from 14 practitioners Practice locations: Council Bluffs, IA |
National Provider Directory
Locations (25 of 44)
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
717 N 190th Plz
Ste 2400
Elkhorn, NE 68022
Phone (402) 815-1912
717 N 190th Plz
Ste 2500
Elkhorn, NE 68022
Phone (402) 815-1915
717 N 190th Plz
Ste 24
Elkhorn, NE 68022
Phone (402) 815-1901
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
8901 W Dodge Rd
Ste 200A
Omaha, NE 68114
Phone (402) 815-1970
8601 W Dodge Rd
Ste 126
Omaha, NE 68114
8303 Dodge St
Ste 301
Omaha, NE 68114
Phone (402) 354-8350
8303 Dodge St
Fl 2
Omaha, NE 68114
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
981225 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 401-5121
5105 Bedford Ave
Omaha, NE 68104
Phone (402) 557-4600
5910 S 42nd St
Omaha, NE 68107
Phone (531) 299-3080
5410 Corby St
Omaha, NE 68104
Phone (402) 556-2433
515 N 162nd Ave
#P
Omaha, NE 68118
Phone (402) 354-4104
8303 Dodge St
Ste 138
Omaha, NE 68114
Phone (402) 354-3200
8303 Dodge St
Ste 304
Omaha, NE 68114
Phone (402) 354-4104
515 N 162nd Ave
Ste 100
Omaha, NE 68118
Phone (402) 354-4104
8111 Dodge St
Ste 332
Omaha, NE 68114
Phone (402) 354-5947
14101 Larimore Ave
Omaha, NE 68164
Phone (531) 299-2320
16120 W Dodge Rd
Fl 1
Omaha, NE 68118
Phone (402) 354-0500
5301 S 36th St
Omaha, NE 68107
3230 Burt St
Omaha, NE 68131
6901 Burt St
Omaha, NE 68132
Phone (531) 299-2400
8511 W Dodge Rd
Fl 3
Omaha, NE 68114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Clinical Neuropsychologist |
103G00000X | |||
| Psychologist |
103T00000X | |||
| Nutrition Education Nutritionist |
133NN1002X | |||
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Neonatal-Perinatal Medicine Physician |
2080N0001X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
8303 Dodge St
Omaha, NE 68114-4108
Mailing address
PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00334 | Other | NE | BCBS HOME HEALTH |
| 1966 | Other | NE | BCBS PERINATE/REPRO ENDO |
| 7715 | Other | NE | BCBS SLEEP LAB |
| 81001 | Other | NE | BCBS DIABETES |
| 1859 | Other | NE | BCBS DIAGNOSTICS |
| 2977 | Other | NE | BCBS PATHOLOGY |
| 1959 | Other | NE | BCBS ER & BEHAVIORAL |
| 7750 | Other | NE | BCBS CARDIOLOGY |
| 1832 | Other | NE | BCBS GEM CLINIC |
| 2854 | Other | NE | BCBS NEUROPSYCHOLOGY |
| 6000044 | Other | NE | UHC HOME HEALTH |
| 7758 | Other | NE | BCBS PHYSICAL MED & REHAB |
Other providers in Omaha, NE
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Omaha NE
- Nebraska Neurobehavioral Services Inc
- Nebraska Nurses Beyond (Dba) Bee Well Compassionate Care
- Nebraska Organ Recovery System
All providers in Omaha, NE · Emergency Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.