Nebraska Methodist Hospital

Primary specialty

Emergency Medicine PhysicianTaxonomy code 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

Last updated

Nov 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven L Goeser

Title

Executive Vice President & Coo

Phone

(402) 354-4449

Specialties & licenses 15

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in NE, IA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883

  6901707447

  Same PAC ID
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • Rehabilitation Hospital Unit
  • Omaha, NE
  • NPI 1659461895

  6901707447

  Same PAC ID

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Heart Services LLC

  • Cardiovascular Disease Physician
  • Omaha, NE
  • NPI 1376860155

  Member Of

  NPD member
• Methodist Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1083946149

  Member Of

  NPD member
• Midwest Surgical Hospital, L.L.C.

  • Special Hospital
  • Omaha, NE
  • NPI 1013122571

  Member Of

  NPD member

Locations (25 of 48)

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Midwest Surgical Hospital, L.L.C.

  • Special Hospital
  • Omaha, NE
  • NPI 1013122571

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 327

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter A. Abasolo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
  • NPI 1609181387
  Medicare reassignment Care Compare group NPD
• Kathleen Ann Anthone, RN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1407539208
  Medicare reassignment Care Compare group NPD
• Jiri Biorn Bedrnicek, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
  • NPI 1831352046
  Medicare reassignment Care Compare group NPD
• Alison Marie Benson, M.D.

  • Emergency Medicine Physician
  • Lincoln, NE
  • NPI 1437218252
  Medicare reassignment Care Compare group NPD
• Alexa Leigh Berry, SLP

  • Speech-Language Pathologist
  • Omaha, NE
  • NPI 1811733926
  Medicare reassignment Care Compare group NPD
• Jean Ann Beumler, APRN, FNP-BC

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1932531746
  Medicare reassignment Care Compare group NPD
• Kimberly Bland

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1467858019
  Medicare reassignment Care Compare group NPD
• Elizabeth R. Blazek, RN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1538665161
  Medicare reassignment Care Compare group NPD
• Robert G. Bonebrake, M.D.

  • Maternal & Fetal Medicine Physician
  • Elkhorn, NE
  • NPI 1386758761

  IA, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Shelley C Booth, APRN-FNP-C

  • Family Nurse Practitioner
  • Bellevue, NE
  • NPI 1639555279

  IA

  Medicare reassignment Care Compare group NPD
• Ryan C Brown, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1881348852
  Medicare reassignment Care Compare group NPD
• Sean Robert Brozek, M.D.

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1245677475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1689628372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-4230",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-354-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "GOESER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "402-354-4449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CARDIOLOGY",
            "identifier": "7750",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GEM CLINIC",
            "identifier": "1832",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SLEEP LAB",
            "identifier": "7715",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DIABETES",
            "identifier": "81001",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ER & BEHAVIORAL",
            "identifier": "1959",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL MED & REHAB",
            "identifier": "7758",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERINATE/REPRO ENDO",
            "identifier": "1966",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PATHOLOGY",
            "identifier": "2977",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOME HEALTH",
            "identifier": "00334",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DIAGNOSTICS",
            "identifier": "1859",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEUROPSYCHOLOGY",
            "identifier": "2854",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC HOME HEALTH",
            "identifier": "6000044",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nebraska Methodist Hospital
• Nebraska Methodist Hospital (Methodist Hospital)
• Nebraska Methodist Hospital (Methodist Hospital)
• Nebraska Methodist Hospital
• Nebraska Methodist Hospital (Methodist Hospital)
• Nebraska Methodist Hospital
• Nebraska Neurobehavioral Services Inc
• Nebraska Organ Recovery System (Live On Nebraska)
• Nebraska Orthopaedic Associates LLP
• Nebraska Orthopaedic Hospital LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.